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
92,076
AK1,880
AL6,345
AR4,151
AS46
AZ14,991
CA66,887
CO12,550
CT8,943
DC1,795
DE2,009
FL42,724
FM4
GA17,031
GU124
HI2,580
IA4,919
ID2,892
IL22,128
IN24,197
KS5,047
KY9,111
LA5,500
MA15,718
MD13,434
ME3,351
MH8
MI20,971
MN13,585
MO10,747
MP30
MS3,198
MT2,477
NC18,051
ND1,501
NE3,109
NH3,218
NJ20,216
NM4,218
NV4,728
NY37,667
OH20,793
OK6,692
OR9,244
PA25,607
PR2,588
QM2
RI2,163
SC7,261
SD1,282
TN10,445
TX39,890
UT4,618
VA15,980
VI67
VT1,830
WA16,071
WI12,042
WV2,571
WY926
XB5
XL1
XV2

ID: 1120674
Sex: F
Age: 72
State: IL

Vax Date: 03/11/2021
Onset Date: 03/12/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Dysphagia, Epiglottitis

Symptoms: 2 inch diameter red area where injection was given. Warm to the touch. An occasional itching similar to an insect bite. The redness appeared the day after the injection and is still there on day 10 after the injection.

Other Meds: Diliazem, Flecainide, Eliquis, Estradiol, Calcium citrate, Vit

Current Illness:

ID: 1120675
Sex: F
Age: 31
State: MN

Vax Date: 03/02/2021
Onset Date: 03/08/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Anxiety, Dyspnoea

Symptoms: Head pressure started occurring 3/3 and tinnitus started occurring 3/8. Both are still happening.

Other Meds:

Current Illness:

ID: 1120676
Sex: F
Age: 71
State: NC

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

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

Lab Data:

Allergies: doxycycline migraines

Symptom List: Chest discomfort, Dysphagia, Pain in extremity, Visual impairment

Symptoms: hypotension and inability to raise left arm for 3 days. She also felt fatigued and had fever to 101 degrees F

Other Meds: lisinopril 5mg daily, HCTZ 12.5mg daily, Levocetirizine 5 mg daily, Lovastatin 10mg daily, montelukast 10 mg daily, multivitamin daily

Current Illness: none

ID: 1120677
Sex: F
Age: 62
State: HI

Vax Date: 03/06/2021
Onset Date: 03/19/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies: Yes, to numerous medications. Intolerant of lactose. Local anesthetics, steroids, Tetnus booster. Actifed. Doxycycline. Anti-Seizure medications. Codeine....

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Some incontinence/bladder leakage

Other Meds: low dose aspirin, magnesium, bee propolis, Vitamin D

Current Illness: Clinical presentation of acute COVID symptoms mid-Nov-end of January. Neg tests. Was still unable to walk around the block until mid-February.

ID: 1120678
Sex: F
Age: 67
State: CA

Vax Date: 03/18/2021
Onset Date: 03/18/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies: Erythromycin, alcohol, preservatives

Symptom List: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Pain in left arm, fatigue, headache, muscle aches starting at about 4 hours after the vaccine was administered and lasting for about 36 hours. Chills and mild fever starting about 12 hours after the vaccine was administered and lasting about 8 hours.

Other Meds: Levothyroxine

Current Illness:

ID: 1120679
Sex: F
Age: 46
State: NC

Vax Date: 03/19/2021
Onset Date: 03/20/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Chills, Confusional state, Eye inflammation, Headache, Laboratory test

Symptoms: Arm was extremely sore to the touch and to move, energy was zapped, and curbed my appetite on the day after but by the next day I was completely fine

Other Meds: Nond

Current Illness:

ID: 1120680
Sex: F
Age: 48
State: CA

Vax Date: 03/12/2021
Onset Date: 03/16/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies: Mango Seasonal allergies

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Red, swollen, pain and itchy at injection site. Started about 5 days after injection. Minor headaches around the same time. Still have these symptoms in day 10 post injection. Pain was moderate at the beginning, now all symptoms are minor.

Other Meds: Trintellix, Ritalin, probiotics, probiotics, collagen powder, protein powder.

Current Illness: None

ID: 1120681
Sex: M
Age: 66
State: LA

Vax Date: 03/07/2021
Onset Date: 03/07/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Pharyngeal swelling

Symptoms: joint pain, swelling arm/feet/legs/neck, headache, lower back pain, blurry eye, insomnia, neuropathy in arms and legs, itchy

Other Meds: none

Current Illness: none

ID: 1120682
Sex: F
Age: 56
State: IN

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies: Red food dye, caffeine Morphine, dilotta

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: High fever 102.4 highest monitored/24 hours Severe body aches and pain Head/neck/shoulders worse pain Nausea/vomitting Worst of symptoms lasted about 24 hours - 48 hours later no appetite and aches and headache Treated with tylenol and ibuprofen, rest, water

Other Meds: Fluoxentine Busiperone Linsinopril Omezaprazole Iron B12

Current Illness: Sinus infection

ID: 1120683
Sex: F
Age: 76
State: NH

Vax Date: 03/19/2021
Onset Date: 03/21/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Bright red blotches on both knees & just below the knees. Seen at 2:15 pm. No other symptoms. Redness is fading now at 3:30 pm.

Other Meds: Pantoprazole, Amlodipine, & Atorvastatin. Eyedrops: Timolol & Latanoprost. Calcium Citrate

Current Illness: none

ID: 1120684
Sex: M
Age: 65
State: IN

Vax Date: 03/17/2021
Onset Date: 03/18/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Vaccination site erythema, Vaccination site pruritus, Vaccination site swelling

Symptoms: Fever, chills, muscle aches. Lasted 24 hrs

Other Meds:

Current Illness:

ID: 1120685
Sex: F
Age: 47
State: MD

Vax Date: 02/20/2021
Onset Date: 02/21/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Rash, Urticaria

Symptoms: Fever (102), headache, body aches

Other Meds: None

Current Illness: None

ID: 1120686
Sex: M
Age: 73
State: AZ

Vax Date: 03/05/2021
Onset Date: 03/08/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies: No known allergies to medications, food....allergies to grasses, some danders and mildews..

Symptom List: Blood pressure decreased, Chest pain, Chills, Confusional state, Decreased appetite

Symptoms: Night sweats, some lethargy, affected breathing during walking regine (6 to 7 miles daily). .reaction to routine allergy injections on the the 8th of March - fist size swelling on both arms at the injection sites. This had never occured before, and I have been on the allergy medicines for 4 years..

Other Meds: fish oil, 5000 units,....12 units of Calcium....50 mg D3....50 mg DHEA...famotidine 20 MG...Levocetirizine 5 MG...Losartin 50 MG Testerone Salve 155 MG.....B12 1000 MG

Current Illness: None

ID: 1120687
Sex: F
Age: 85
State: MT

Vax Date: 03/20/2021
Onset Date: 03/20/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies: Sulfur

Symptom List: Dyspnoea, Fatigue, Feeling abnormal, Head discomfort, Headache

Symptoms: From 10 p.m. to 1:30 a.m. my heart beat was about 140/ min. then returned to near normal. I could not fall asleep until about 4 a.m. even tho I usually sleep through the entire night. When I finally fell asleep I had weird dreams like when one has a fever; however I had no fever. I experienced chills all night. By noon today (3/21/21) I have no more symptoms and feel back to normal.

Other Meds: Levothyroxin TAB 25MCG

Current Illness: none

ID: 1120688
Sex: F
Age: 51
State: MD

Vax Date: 03/21/2021
Onset Date: 03/21/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies: Sulfa drugs

Symptom List: Heart rate decreased, Heart rate increased, Hypertension, Injection site pain, Musculoskeletal chest pain

Symptoms: arm discoloration, mottling, redness after vaccine injected. No itching, urticaria, SOB, angioedema, nausea/vomiting. NO pain or discomfort. No additional complaints. Had similar reaction, but more severe to Sulfa drugs in the past. Given po Benadryl, observed for additional 30 minutes prior to discharge

Other Meds:

Current Illness:

ID: 1120689
Sex: F
Age: 82
State: CA

Vax Date: 03/04/2021
Onset Date: 03/05/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Nausea, Pain, Pain in extremity, Paraesthesia oral, Pyrexia

Symptoms: Temp has been up & down every day, itching on the lower forearm & back; feel OK

Other Meds: Wixela 110/50; Gabapentin 300 mg; Diltiazen 240 mg; Losartin Potassium 50 mg; Simvastatin 15 mg; HZTC 12/5 mg; Percocet 5-325;mg; Gabapentin 50 mg; Methocarbamol 500 mg; B12; folic acid; Estroven

Current Illness:

ID: 1120690
Sex: F
Age: 70
State: CA

Vax Date: 03/12/2021
Onset Date: 03/13/2021
Rec V Date: 03/21/2021
Hospital: Y

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

Lab Data:

Allergies: n/a

Symptom List: SARS-CoV-2 antibody test, SARS-CoV-2 test negative

Symptoms: Following the day after my 2nd dose of Moderna I lost consciousness, collapsed, hit my head on metal handle in kitchen, required 8 staples on the gash on backside of my head and two days hospital stay.

Other Meds: Tirosint 75mcg (Levothyroxine Sodium), multi-vitamins, turmeric, fish oil, Co-Q10

Current Illness: n/a

ID: 1120691
Sex: F
Age: 67
State: AZ

Vax Date: 03/20/2021
Onset Date: 03/20/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies: Augmentin, Codeine

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Fever 103?, chills, muscle aches, joint pain, headache, difficult breathing, weakness, ringing in ears

Other Meds: Boniva, Crestor, Amlodipine, Calcium

Current Illness:

ID: 1120692
Sex: F
Age: 48
State: TX

Vax Date: 03/16/2021
Onset Date: 03/17/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Fever, chills, agitated throat, very fatigue, sore shot area, hard for 4 days at the shot area, bruised, headache for 4 days, eyes tired

Other Meds:

Current Illness: Covid-19

ID: 1120693
Sex: M
Age: 60
State: IN

Vax Date: 03/19/2021
Onset Date: 03/20/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Blood pressure increased, Chest discomfort, Heart rate increased

Symptoms: Headache, chills, stomach cramps

Other Meds:

Current Illness:

ID: 1120694
Sex: M
Age: 16
State: MO

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies: Nubain, adhesive tape

Symptom List: Injection site erythema, Injection site pruritus, Injection site swelling, Lymph node pain, Lymphadenopathy

Symptoms: No adverse event. Patient is 16 years old and was given Moderna, which is indicated for patients aged 18 years and older. No adverse events reported and patient will be given Moderna for second dose per CDC guidance.

Other Meds: Fluoxetine 20mg daily, loratadine 10mg daily, omeprazole 40mg daily, budesonide nebulizer, albuterol nebulizer PRN,

Current Illness:

ID: 1120695
Sex: F
Age: 37
State: VA

Vax Date: 03/14/2021
Onset Date: 03/15/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Unevaluable event

Symptoms: Chills, fever, headache

Other Meds:

Current Illness:

ID: 1120696
Sex: F
Age: 21
State: ME

Vax Date: 03/21/2021
Onset Date: 03/21/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Chills, Dizziness, Injection site pain, Myalgia, Pyrexia

Symptoms: after receiving immunization patient felt hot and dizzy. She then fainted and lost conciousness for about 10 seconds.

Other Meds: none

Current Illness: none

ID: 1120697
Sex: F
Age: 74
State:

Vax Date: 03/19/2021
Onset Date: 03/20/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List: Injection site pain, Pain

Symptoms: Bad headache, back ache, chills. shot arm hurt

Other Meds: Arava, Pindolol Nifedipine Losartan Plaquenil

Current Illness:

ID: 1120698
Sex: F
Age: 55
State: PA

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies: adhesive,percocete

Symptom List: Injection site pain, Menorrhagia

Symptoms: About three hours after injection i suffered a sudden severe joint pain in back of neck (cervical) where I had a previous neck surgery with disc replacement in the year 2019 and a terrible headache. Hours later I suffered from low back pain (old surgery site), fever, fatigue and more joint pain along with achey teeth. Since 2/11 /21 , I have continued to have ongoing headaches with neck and low back pain, bilateral arm numbness and tingling across shoulders. Teeth still ache. It's been over a month since second vaccination.

Other Meds: celebrex,prozac,klonipin,melatonin

Current Illness: none

ID: 1120699
Sex: F
Age: 20
State:

Vax Date: 03/18/2021
Onset Date: 03/18/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Arthralgia, Chills, Headache, Mobility decreased, Myalgia

Symptoms: Patient received the Pfizer Vaccine around 4:00 PM. Patient proceeded to sit at the observation area for monitoring then patient flagged down staff with c/o dizziness, blurred vision, hearing loss, slight pallor noted. Patient was noted sitting at the observation area with LVN next to her side. Patient was offered to lay down. Ice pack was placed on the back of patients neck, patient ate a candy bar, Nurse encouraged fluids. VS were taken and noted to be stable. Patient was monitored for 30 mins before departure. Patient stated having needle anxiety in the past. Nurse instructed patient and patient mother on signs, Symptoms of Severe Adverse Reactions to report to health care provider or to go to the emergency room. Patient/Family verbalized understanding.

Other Meds:

Current Illness:

ID: 1120700
Sex: M
Age: 34
State: TX

Vax Date: 03/05/2021
Onset Date: 03/15/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Vertigo/dizziness causing vomiting and affecting activities of daily living. Ongoing after 1 week and not responding to Meclizine or Ondansetron. Originally had mild fever for one night, then brain fog and night sweats for approximately five days

Other Meds: Fish oil and vitamin D supplement

Current Illness:

ID: 1120701
Sex: M
Age: 48
State: MI

Vax Date: 03/21/2021
Onset Date: 03/21/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies: Nuts

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: The technician was giving the COVID-19 vaccine to the patient. After injecting the patient with the needle and pressing down on the plunger, the vaccine exploded from the top of the plunger. The patient did not receive the majority of the vaccine. Because of this, the patient was revaccinated with the full dose of the COVID-19 vaccine. The patient was injected around 1:35pm and did not experience any signs or symptoms. After sitting for about 15 minutes, the patient reported to be feeling fine with no signs or symptoms.

Other Meds:

Current Illness:

ID: 1120702
Sex: F
Age: 51
State: MO

Vax Date: 03/19/2021
Onset Date: 03/21/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Headache, Heart rate increased, Injection site erythema, Injection site pain, Injection site swelling

Symptoms: Woke up with fever and vomiting the morning after and a severe front of head headache. Bad body aches. By mid afternoon my fever was up to 102 degrees-even with taking ibuprofen regularly. Extremely tired, headache and body aches with fever continued all night long.

Other Meds: Armour Thyroid 75ml, Zoloft 50ml, ibuprofen, omeprazole

Current Illness: none

ID: 1120703
Sex: M
Age: 66
State: TN

Vax Date: 03/02/2021
Onset Date: 03/09/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Nausea

Symptoms: I got my first Pfizer COVID shot on March 2. On March 9 I had an episode of double vision for a couple of minutes but it went away. On March 10 it returned and worsened such that when I looked to the left my vision had a magnifying effect. After consulting with my Ophthalmologist and my primary physician it was decided that I should not at this time get my second shot scheduled for March 23 due to potential exacerbating problems from my March 2 first shot. Further it was seen that my blood glucose was showing me diabetic for which I have begun medical treatment for type 2 diabetes.

Other Meds: Amlodipine benazepril 5-20mg Metoprolol succ. 12.5 mg Daily vitamins

Current Illness: No

ID: 1120704
Sex: F
Age: 48
State: CA

Vax Date: 03/16/2021
Onset Date: 03/18/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies: Doxycycline Pineapple Walnuts

Symptom List: Injection site pain

Symptoms: 30+/- hours later I broke out in a rash on my upper body (chest, neck, shoulders, back). Rash lasted 4 days, but itching on upper body continued.

Other Meds: Celexa Pulmicort Flexhaler

Current Illness: None

ID: 1120705
Sex: F
Age: 40
State:

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site induration, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Arm pain, redness, itching

Other Meds: Adderall, Ativan

Current Illness:

ID: 1120707
Sex: F
Age: 60
State: IN

Vax Date: 03/19/2021
Onset Date: 03/20/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies: plain aspirin, tylenol, codeine

Symptom List: Chills, Dizziness, Nausea, Pain, Tachycardia

Symptoms: I felt fine when I woke up. My left arm was very sore which also was the case after first vaccine. Around 10 am I developed chills and just did not feel great. My husband took my temp and the highest it got was 102.6 which is high for me since my baseline is 97.6 or so. I did not have a great appetite and felt very stiff when I moved around. I pushed fluids and took 3 naps Saturday. I have a low grade fever of 99 today but feel much better. Did take 2 naps and slept well last night. Took Advil with each meal and doing so today.

Other Meds: Levoxyl 112 mgc daily

Current Illness: none

ID: 1120708
Sex: F
Age: 46
State: IL

Vax Date: 03/21/2021
Onset Date: 03/21/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies: strawberries, berries

Symptom List: Tremor

Symptoms: Itchiness to left arm for a minute then went away. Same thing to right wrist then went away.

Other Meds: none

Current Illness: none

ID: 1120709
Sex: F
Age: 73
State: WA

Vax Date: 02/27/2021
Onset Date: 03/01/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies: Sulfa Drugs Codeine

Symptom List: Erythema, Pruritus

Symptoms: Red , raised lesions on right thigh. Initially 9 spots, increasing over 4 days to total of 21 raised spots about the diameter of a pencil eraser, larger, flat redness around each lesion. At about 5 days, tiny heads began to form. Day 8, redness began to fade. After 2 1/2 weeks, tiny scabs cover the center of each lesion and only purple discoloration remains at each site. The 21 spots were spread over inner thigh, front of thigh and outer thigh.

Other Meds: Atenolol Furosemide Zetia Ibuprofen Vitamin D

Current Illness: None

ID: 1120710
Sex: F
Age: 50
State: MI

Vax Date: 03/16/2021
Onset Date: 03/17/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies: Sulfa drugs

Symptom List: Injection site erythema, Injection site induration, Injection site pruritus, Injection site swelling, Myalgia

Symptoms: Terrible vomiting 26 hours after vaccination

Other Meds:

Current Illness:

ID: 1120711
Sex: F
Age: 67
State: IN

Vax Date: 03/18/2021
Onset Date: 03/19/2021
Rec V Date: 03/21/2021
Hospital: Y

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

Lab Data:

Allergies: Latex. Certain antibiotics. Opioid based drugs

Symptom List: Cough, Limb discomfort, Pain, SARS-CoV-2 test positive

Symptoms: Hospitalized with the following. Fever, chills, nausea, shaking, vomiting

Other Meds: Multiple vitamins.vitamin d. Probiotic

Current Illness: None

ID: 1120712
Sex: F
Age: 40
State: NC

Vax Date: 03/15/2021
Onset Date: 03/19/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: large angry rash covering torso. it is NOT at the injection site

Other Meds: collagen; lions mane; reishi

Current Illness: none

ID: 1120713
Sex: F
Age: 19
State: CA

Vax Date: 03/14/2021
Onset Date: 03/19/2021
Rec V Date: 03/21/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List: Injection site erythema, Injection site pain, Injection site swelling

Symptoms: I had two seizures on 3/19/21 and was admitted into the hospital. Blood tests and MRI were done.

Other Meds:

Current Illness:

ID: 1120714
Sex: F
Age: 70
State: MA

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

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

Lab Data:

Allergies: Fioricet Amoxicillin Novacaine Bacitracin

Symptom List: Chills, Feeling cold, Feeling hot, Myalgia, Pain

Symptoms: Started running a fever the night of the injection, March 13, 2021. Fever of 101-102+ continued for 40 hours along with muscle (especially calves) and joint discomfort. I had a bout of being nauseous and I had two soaking body sweats. After the fever broke, I was weak and tired and lightheaded. It?s now eight days since the vaccine and I have noticed that at times I am searching for a word that I know, but I can?t pull it up in my mind. This has happened one or two times a day since I received the vaccine on March 13. Seems like a mild neurological side effect. Hopefully, this strange side effect will end soon.

Other Meds: Tylenol, probiotic, Vitamin D, Metamucil

Current Illness: None

ID: 1120715
Sex: F
Age: 45
State: FL

Vax Date: 03/20/2021
Onset Date: 03/20/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies: none known

Symptom List: Pain in extremity

Symptoms: Janssen COVID-19 Vaccine EUA low grade fever-12 hours chills-12 hours body ache-24 hours headache-24 hours shortness of breath-10 hours runny/stuffed nose-10 hours loss of appetite-24 hours fatigue-24 hours upset stomach-randomly

Other Meds: probiotic iron vitamin D

Current Illness: none

ID: 1120716
Sex: M
Age: 25
State: CA

Vax Date: 03/14/2021
Onset Date: 03/14/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies: No known allergies

Symptom List: Abdominal pain upper, Abnormal behaviour, Adverse reaction, Anger, Asthma

Symptoms: At approximately 10:35am client had completed his 15mins observation and was ready to go home when he briefly felt his throat closing. He then called 911 and went back inside to EMT station and notified EMTs. He was then assessed and denied history of Anaphylaxis or allergies to food or meds. Assessment revealed no hives, rashes, skin flare ups, itchiness or shortness of breath. Client denied chest pain, difficulty breathing or pain throughout the body. Initial Vital signs were taken and taken every 5mins after that. He was asked to stay for 30mins. Client told 911 operator he felt safe to hang up and stay with EMT at vaccination site. Client's initial vital signs were a pulse of 112, Blood pressure of 164/92, O2 sat of 99% on room air and respirations of 24 with no signs of accessory muscle use. Due to client's vitals improving with his calmer demeanor, no additional interventions were felt to be necessary at this time. Client stated he felt better and was encouraged to follow up with his Primary Care Provider and emergency precautions were given. Vital Signs: 1035 - 164/92 (BP), 112 (HR), 99 (O2) 1040 - 160/90, 96, 99 1045 - 142/88, 94, 99 1050 - 138/88, 94, 99 1055 - 132/88, 94, 99 No medications were administered.

Other Meds: unknown

Current Illness: unknown

ID: 1120717
Sex: F
Age: 31
State: NJ

Vax Date: 03/13/2021
Onset Date: 03/20/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Consciousness fluctuating, Crying, Dry skin, Epistaxis, Headache

Symptoms: Started at 2:00pm with itching and redness on left arm at the injection site. By 6:30pm rash/hives spread to legs, arms, feet, stomach and back. Severe itching. Took 25mg of Benadryl at 6:30pm. Rash appeared to subside. By 10:30pm rash and severe itching returned on legs, feet, back, stomach and arm. Felt tingling and numbness in tongue. Took additional 25mg of benadryl and called 911. Paramedics arrived and assessed vitals. Rash began to subside. Sunday 3/21 had residual internal itching all over body.

Other Meds: None

Current Illness: None

ID: 1120718
Sex: F
Age: 30
State: LA

Vax Date: 03/03/2021
Onset Date: 03/03/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List: Hypotonia, Lethargy, Respiratory rate decreased, Screaming, Skin warm

Symptoms: High Blood Pressure, high heart rate, vomiting, diarrhea, burning in chest, tired, tremors, hives all over, dizzy, shortness of breath

Other Meds: Doxycycline

Current Illness: None

ID: 1120719
Sex: F
Age: 33
State: FL

Vax Date: 03/17/2021
Onset Date: 03/17/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List: Vomiting

Symptoms: Inflamed large muscles of the lower body- glute, piriformis, hip, lower back Cough

Other Meds: Lo loestra birth control

Current Illness: None

ID: 1120720
Sex: F
Age: 40
State:

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Arm pain, redness

Other Meds: Adderall, Ativan

Current Illness:

ID: 1120721
Sex: F
Age: 77
State: NC

Vax Date: 01/15/2021
Onset Date: 02/04/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies: Chlorine, formaldehyde, eucalyptus

Symptom List: Back pain, Cold sweat, Headache, Nausea, Vomiting

Symptoms: 19 days after the first shot I fainted and injured left ankle and bump on left forehead, 13 days after the second shot I fainted and injured my left ribs and bump on right forehead . I have not fainted before in 77 years.

Other Meds: Flovent, lisinopril, estradiol

Current Illness: None

ID: 1120722
Sex: F
Age: 25
State: IN

Vax Date: 03/19/2021
Onset Date: 03/20/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies: Sulfa antibiotics

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Low-grade fever, chills, body aches, headache, chest pains: these symptoms lasted about 21 hours.

Other Meds: Stool softener, ibuprofen, birth control.

Current Illness: None

ID: 1120723
Sex: F
Age: 63
State: NY

Vax Date: 03/21/2021
Onset Date: 03/21/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Chills, Diarrhoea, Fatigue, Feeling abnormal, Headache

Symptoms: The second dose was administered subcutaneously in the left arm. The dose was repeated in the right arm intramuscularly.

Other Meds: Immuran, lisinopril, aspirin, calcium, omega-3, prednisone, prolia

Current Illness: none

ID: 1120724
Sex: F
Age: 49
State: WI

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List: Hot flush, Myalgia, Nausea, Tension headache

Symptoms: Jan. 21-Jan. 24: In bed: fatigue, dizzy, nausea, body aches, headaches Jan. 24- present day: Fatigue, brain fog, headaches

Other Meds: Daily vitamin

Current Illness: none

Total 2021 VAERS Injuries: 704,237

Page last modified: 26 October 2021 2:21am