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
29,397
AK1,103
AL2,432
AR1,597
AS31
AZ7,488
CA29,012
CO5,580
CT3,805
DC716
DE777
FL15,815
FM3
GA6,290
GU48
HI1,046
IA2,362
ID1,294
IL9,434
IN14,438
KS2,362
KY3,128
LA2,163
MA6,854
MD5,912
ME1,532
MH5
MI8,513
MN5,801
MO4,558
MP10
MS1,242
MT1,281
NC7,583
ND684
NE1,517
NH1,592
NJ7,636
NM1,988
NV1,764
NY15,812
OH9,412
OK2,552
OR3,832
PA10,014
PR1,096
QM1
RI1,074
SC2,801
SD678
TN4,048
TX15,695
UT2,206
VA7,135
VI23
VT921
WA6,517
WI5,492
WV1,212
WY434
XB4
XL1
XV1

ID: 1146479
Sex: F
Age: 35
State: NJ

Vax Date: 03/28/2021
Onset Date: 03/28/2021
Rec V Date: 03/30/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Error: Wrong Dose of Vaccine - Too High

Other Meds:

Current Illness:

ID: 1146481
Sex: F
Age: 44
State: NC

Vax Date: 03/19/2021
Onset Date: 03/30/2021
Rec V Date: 03/30/2021
Hospital:

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

Lab Data:

Allergies: no

Symptom List:

Symptoms: about 2" diameter area of swelling, redness, and mild irritation at injection site

Other Meds: Fluoxetine 40mg, Lamotrigine 200mg, Bupropion 300mg, Propranolol 30mg, Montelukast 10mg, Cetirizine 10mg, multivitamin, albuterol inhaler as needed

Current Illness: rhinitis

ID: 1146482
Sex: F
Age: 44
State: FL

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 03/30/2021
Hospital:

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

Lab Data:

Allergies: Dilaulid, Penicillin

Symptom List:

Symptoms: joint pain, migraine, muscles aches, extreme fatigue

Other Meds: B12, Aspirin

Current Illness:

ID: 1146483
Sex: M
Age: 56
State: NY

Vax Date: 03/28/2021
Onset Date: 03/28/2021
Rec V Date: 03/30/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Error: Wrong Dose of Vaccine - Too High

Other Meds:

Current Illness:

ID: 1146609
Sex: M
Age: 55
State: NY

Vax Date: 02/10/2021
Onset Date: 02/17/2021
Rec V Date: 03/30/2021
Hospital:

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

Lab Data:

Allergies: History of hives from aspirin age 7-8 but details unavailable and did tolerate low-dose aspirin after reported event; hives from meloxicam but tolerates advil and aleve.

Symptom List:

Symptoms: Sudden onset at rest of blurry vision and tingling paresthesias of trunk and limbs bilaterally.

Other Meds: Levothyroxine 25mcg daily, Lyrica 50mg tid, azelastine 0.05% ophthalmic suspension twice daily as needed, fluticasone nasal spray daily as needed, cyclobenzprine 5mg at night for severe spasm.

Current Illness: First Moderna COVID-19 vaccine a month prior.

ID: 1146610
Sex: F
Age: 78
State: WV

Vax Date: 03/26/2021
Onset Date: 03/26/2021
Rec V Date: 03/30/2021
Hospital:

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

Lab Data:

Allergies: Aleve, Avelox, Bactrim, Bayer, codeine, Dexilant, egg, Flovent, Fluzone, Keflex, Levaquin, PCN, perforomist, Soy, Thyme, Vitamin C

Symptom List:

Symptoms: Vaccine was administered at drive through event. During the waiting period, she developed wheezing and dyspnea. She has a history of multiple allergies and self administered her own liquid benadryl 50mg and her own albuterol inhaler. She was also given Depo Medrol 80mg IM. Her symptoms resolved and she was monitored for an additional hour at the site. She had an appointment already scheduled with her allergist later that day and plans to keep this appointment. She had strict instructions to seek medical care immediately if other symptoms developed.

Other Meds:

Current Illness:

ID: 1146611
Sex: M
Age: 44
State: IL

Vax Date: 03/25/2021
Onset Date: 03/26/2021
Rec V Date: 03/30/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: About 5 hours after the vaccination the injection site became extremely sore and is still sore on the third day after the vaccination. On the first night after the vaccination I began to get body aches. During day 2 the body aches became extreme, where getting out of bed or moving was painful. The body aches were less severe on days 2 and 3, but are still continuing on day 4. I was running a fever all of day during days 2, 3, and 4. I was throwing up on day 3. I had GI pain and diarrhea on day 4. I never have headaches, but have had a headache since day 2 and it is now day 5. I have had lower back pain since day 2 and that also continues today (day 5).

Other Meds: low-dose aspirin (1 daily), singulair (1 daily), daily vitamin

Current Illness: none

ID: 1146612
Sex: M
Age: 29
State:

Vax Date: 01/18/2021
Onset Date: 03/30/2021
Rec V Date: 03/30/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: PATEINT RECEIVED BOTH DOSES OF MODERNA AND GOT INFECTED WITH COVID-19 VIRUS MORE THAN 14 DAYS AFTER COMPLETING THE SERIES.

Other Meds:

Current Illness:

ID: 1146613
Sex: F
Age: 42
State: OH

Vax Date: 03/29/2021
Onset Date: 03/29/2021
Rec V Date: 03/30/2021
Hospital:

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

Lab Data:

Allergies: Latex Fruit allergy including mango, banana, passion fruit, avocado.

Symptom List:

Symptoms: Nausea, joint aches, severe fatigue, headache, muscle tension and pain.

Other Meds: Juice Plus Supplements, Probiotic, Estroven, 137.5 mg of Effexor.

Current Illness: None

ID: 1146614
Sex: F
Age: 44
State: NY

Vax Date: 03/21/2021
Onset Date: 03/21/2021
Rec V Date: 03/30/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List:

Symptoms: I started having normal side effects such as sore arm, extreme tiredness and headache within 2 hours. By later that night I was in a dazelike state, had a lot of forgetfulness and lived life but as if I was sleepwalking and started having seizures over the next few days. A week later I'm still having seizures, have no recollection of anything starting from the night of the day I got vaccinated

Other Meds: Yes

Current Illness: No

ID: 1146616
Sex: M
Age: 75
State: NJ

Vax Date: 03/17/2021
Onset Date: 03/28/2021
Rec V Date: 03/30/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: My father started showing symptoms of Covid such as low grade fever and muscle aches on 3/28 which was 11 days after receiving the first dose of moderna vaccine

Other Meds: Blood thinner Metaprolol

Current Illness: None

ID: 1146617
Sex: F
Age: 67
State:

Vax Date: 03/29/2021
Onset Date: 03/30/2021
Rec V Date: 03/30/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Headache, pain at site of injection, joint aches, chills

Other Meds:

Current Illness:

ID: 1146618
Sex: F
Age: 50
State: NY

Vax Date: 03/28/2021
Onset Date: 03/28/2021
Rec V Date: 03/30/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Error: Wrong Dose of Vaccine - Too High

Other Meds:

Current Illness:

ID: 1146619
Sex: M
Age: 66
State: NJ

Vax Date: 03/17/2021
Onset Date: 03/27/2021
Rec V Date: 03/30/2021
Hospital:

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

Lab Data:

Allergies: nka

Symptom List:

Symptoms: pt states that later that night he had a very sore arm, headache and dizziness that lasted about 24 hours then went away. About 10 later he developed diarrhea and this has lasted 3 days so far. He took Pepto Bismol for 2 days but this did not seem to help. He has an already scheduled appt w/ his Diabetic doctor and will discuss his symptoms with him to see what he suggest he should do about the diarrhea.

Other Meds: low dose aspirin

Current Illness: no

ID: 1146620
Sex: F
Age: 36
State: NJ

Vax Date: 03/29/2021
Onset Date: 03/29/2021
Rec V Date: 03/30/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Tongue tingling and numb beginning within 2 hours of first dose

Other Meds: None

Current Illness: None

ID: 1146621
Sex: F
Age: 27
State: IL

Vax Date: 03/29/2021
Onset Date: 03/29/2021
Rec V Date: 03/30/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Patient felt dizzy, diaphoretic post vaccine. Patient taken to ambulance for evaluation, patient signed refusal.

Other Meds: Allegra

Current Illness: Nine

ID: 1146622
Sex: F
Age: 49
State: MA

Vax Date: 03/28/2021
Onset Date: 03/28/2021
Rec V Date: 03/30/2021
Hospital:

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

Lab Data:

Allergies: Bioxin Penicillin

Symptom List:

Symptoms: Muscle aches and Fever. Fever details: My normal temp is 98.1-98.2; this was my temp as of approx 8pm after 2pm vaccine By midnight: 99.8F 2 am: 99.9F 3am: 100.5F 6am: 99.6F 8am: 97.6F (fever gone)

Other Meds: Vitamin B complex L-lysine Vitamin D3 Multi-vitamin (New chapter, women >40) Calcium supplement (OTC)

Current Illness: none

ID: 1146623
Sex: F
Age: 97
State: NY

Vax Date: 03/11/2021
Onset Date: 03/18/2021
Rec V Date: 03/30/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: Patient called about 10 days after the shot and said she had a red circular rash on her arm where the shot was given to her. She said it was a little itchy and warm. She had it looked at to confirm nothing else was going on. I followed up with her today and she said that it has gone away.

Other Meds:

Current Illness: N/A

ID: 1146625
Sex: F
Age: 56
State: TN

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 03/30/2021
Hospital:

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

Lab Data:

Allergies: Ketorolac, Morphine, Sulfa.

Symptom List:

Symptoms: Day of the vaccine developed soreness, swelling and redness at vaccine site. Overall aches and pains. Lasted 4 days, with fever on day two. On day two developed a "spongy" or paresthetic sensation of bottom of the feet that is still present 7 weeks later.

Other Meds: Percocet Atorvastatin, Singulair, Lisinopril, Flexeril, Phenergan, Vitamin D, Benadryl

Current Illness: hx of Henoch Schonlein Purpura. Hx of polyneuropathy.

ID: 1146626
Sex: F
Age: 54
State: NY

Vax Date: 03/28/2021
Onset Date: 03/28/2021
Rec V Date: 03/30/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Error: Wrong Dose of Vaccine - Too High

Other Meds:

Current Illness:

ID: 1146627
Sex: M
Age: 71
State: IN

Vax Date: 03/01/2021
Onset Date: 03/04/2021
Rec V Date: 03/30/2021
Hospital: Y

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

Lab Data:

Allergies: NONE

Symptom List:

Symptoms: ATRIAL FIBRILLATION. SENT OT HOSPITAL ON 03/08 AND WAS CARDIOVERTED ON 03/10.

Other Meds: THIAMINE, MVI, LOSARTAN, AMLODAPINE

Current Illness: NONE

ID: 1146628
Sex: M
Age: 51
State: FL

Vax Date: 03/27/2021
Onset Date: 03/29/2021
Rec V Date: 03/30/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Obnoxious ringing in the ears, started approximately 1.5 days after the vaccine. Getting worse.

Other Meds: Tylenol

Current Illness: None

ID: 1146629
Sex: F
Age: 47
State: FL

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 03/30/2021
Hospital:

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

Lab Data:

Allergies: n/a

Symptom List:

Symptoms: Headache/migraine, body ache. Took tylenol

Other Meds: n/a

Current Illness: n/a

ID: 1146630
Sex: F
Age: 30
State: NY

Vax Date: 03/20/2021
Onset Date: 03/29/2021
Rec V Date: 03/30/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Large red welt around injection site, itchy, swollen and hot to touch. Upper arm muscle very achy and sore.

Other Meds:

Current Illness:

ID: 1146631
Sex: F
Age: 34
State: VA

Vax Date: 03/29/2021
Onset Date: 03/29/2021
Rec V Date: 03/30/2021
Hospital:

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

Lab Data:

Allergies: No Known Drug Allergies

Symptom List:

Symptoms: Symptoms experienced were: scratchy throat, nausea, numbness to hands and feet and difficulty breathing. Patient was seen in ED where Epi Pen was given and a few other treatments.

Other Meds: unknown

Current Illness: Covid back in 12/2020 (was not hospitalized for it)

ID: 1146632
Sex: F
Age: 50
State:

Vax Date: 03/25/2021
Onset Date: 03/25/2021
Rec V Date: 03/30/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: SP02 99% heart rate 102 Feeling flushed and warm b/p 128/90 Hx of asthma, no shortness of breath. 4:20 pm still feels flushed, no shortness of breath. Only allergy is Keflex, no dizziness. Offered to go the the ER but, declined. Told to monitor and call 911 if worsens. Daughter is with her.

Other Meds:

Current Illness:

ID: 1146633
Sex: F
Age: 44
State: FL

Vax Date: 03/26/2021
Onset Date: 03/26/2021
Rec V Date: 03/30/2021
Hospital:

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

Lab Data:

Allergies: Percocet, does not remember whether doctor specified the allergy was to oxycodone/opioid. Pt has not taken opioids since percocet reaction.

Symptom List:

Symptoms: body aches, headache, and swollen axillary lymph nodes 44 year old female (DOB: 11/08/1976) received the 2nd dose of the Pfizer COVID-19 vaccine at Track on 03/26/2021 @ 13:30. Pt started experiencing body aches, headache, and swollen axillary lymph nodes on 03/26/2021 @ 21:00. Pt takes Diltiazem 120mg and Omega-3 supplement. Pt has microvascular dysfunction cornary vasospasm. Pt is allergic to Percocet, does not remember whether doctor specified the allergy was to oxycodone/opioid. Pt has not taken opioids since percocet reaction. Pt has taken Tylenol several times since percocet reaction, and has not experienced any side-effects or allergic type reactions. Pt prefers IBU because of the longer lasting effects. Allergy was likely related to opioid/oxycodone. Pt was advised to take Tylenol, monitor axillary lymph nodes, and if headache worsens, axillary lymph nodes swelling increases, or symptoms do not alleviate in 2 days to contact primary doctor for medical care. was consulted and Dr. was notified.

Other Meds: Diltiazem 120mg

Current Illness:

ID: 1146634
Sex: M
Age: 65
State: MT

Vax Date: 11/01/2012
Onset Date: 11/24/2012
Rec V Date: 03/30/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: hospitalized/ "almost died"; ramsey hunt syndrome; Suffer shingles, including any all og its sequelae; Shingles; hearing loss; This spontaneous report as received from a nurse refers to a 65 years old male patient with no drug reactions/allergies. The medical history of the patient included cancer. The patient was vaccinated with a dose of zoster vaccine live (ZOSTAVAX) (Lot number reported as H0139009) (Lot number H0139009 is an invalid lot number for zoster vaccine live) subcutaneously on 13-NOV-2012. No concomitant medications were reported. The nurse called stating the patient received zoster vaccine live (ZOSTAVAX) on 13-NOV-2012 developing Ramsey Hunt Syndrome and was hospitalized. The patient started to experience symptoms on 20-NOV-2012. The patient saw his primary care physician initially. He was also referred to an ENT (Ear, Nose and Throat) specialist on 07-DEC-2012. CT scan, lab work and spinal tab were performed without any results. However his symptoms exacerbated and he was hospitalized on 12-DEC-2012 and spent 3 to 4 days in the hospital. The patient was still experiencing deafness in one ear, trouble swallowing and partial paralysis of his throat. He was still recuperating at home. He was prescribed acyclovir for his condition. The patient had a history of cancer however he was in remission for the past year and had not received any therapy related to cancer in the past year. At the time of reporting, the outcome was reported as recovering. Followup information has been received: all telephone attempts to obtain follow-up information have been unsuccessful. Follow up information was received: nurse stated that she had received multiple calls from the safety department at least every week since she provided this report. She had left voice mails for the safety department .She did not provide a better way to contact her. She stated that the patient still had a loss of hearing to the one side with paralysis and loss of sensation in one side of his throat; he had to be extremely careful when he eats, and his oncologist, informed the patient that if he could keep his weight at 190 pounds, he would not have to receive a feeding tube. Nurse reported that the patient was under treatment for lymphoma and was in remission for at least a year prior to his receipt of zoster vaccine live (ZOSTAVAX) and the subsequent development of his current difficulty as described above. The patient was hospitalized. Follow up information was received from the registered nurse concerning a patient. Demographics such a height and weight were updated. Current conditions of the patient included Penicillin (PCN) allergy, Allopurinol allergy and Uloric allergy post lymphoma-2 years. On 13-NOV-2012, at 15:20, the patient was vaccinated with a dose of Zoster Vaccine Live (ZOSTAVAX) (lot number and expiry date reported as H013944 and 25-OCT-2013 respectively) in the right arm at public health clinic or hospital. The patient experienced sore throat, processed over next 1-2 weeks then lost 20 pounds in 2 weeks due to vertigo, nausea/vomiting, double vision, loss of hearing in right ear. The patient eventually saw a physician at ENT, 2 weeks later, on 24-NOV-2012 (previously reported as 20-NOV-2012), the patient was diagnosed with Ramsay-Hunt syndrome. The event was considered to be life threatening and resulted in significant disability. Patient was hospitalized for 5 days. Then he saw an oncologist and was sent for admission to the hospital. He was admitted for further work up. At the time of vaccination patient was clear of recurrence of lymphoma. Outcome of the event was unknown (previously reported as recovering) and he was continued to have dysphagia. The patient required a medical intervention. No signed informed consent form was obtained. Follow up information was received from the registered nurse stating that on an unknown date in December 2012 (reported as "Late December 2012") (previously reported as "13-NOV-2012") the patient was vaccinated with zoster vaccine live (ZOSTAVAX) On an unknown date in 2013 (reported as "Early 2013") the patient experienced hearing loss (medically significant) and also experienced he was hospitalized at an unspecified hospital on an unspecified date after receiving the zoster vaccine live (ZOSTAVAX) and the nurse reported that the patient "almost died" but did not (hospitalization and life threatening). The outcome of hospitalized/ "almost died" and hearing loss was unknown. The relationship between the events and zoster vaccine live (ZOSTAVAX) was not reported. This F/U report was received on 15-MAR-2021 from a lawyer regarding a case in litigation and refers to a patient male patient of 65-year-old. No information was provided regarding medical history, concurrent conditions, or concomitant medications. In November 2012, the patient was vaccinated with zoster vaccine live (ZOSTAVAX) (lot#, expiration date, dose, dose# and route not specified). As a result of his receipt of zoster vaccine live (ZOSTAVAX), in December 2012, the pt was caused to suffered shingles, including any and all of its sequelae (ill-defined disorder). As a result of his receipt of zoster vaccine live (ZOSTAVAX), the pt had been caused to suffered severe personal injuries, pain, suffering, and emotional distress, as well as to incur substantial economic damages. The outcome of the events was not provided. Therefore, the causality for the events was related to zoster vaccine live (ZOSTAVAX). Upon internal review, hearing loss was determined to be medically significant and hospitalized/ "almost died" was determined to be life threatening.; Sender's Comments: US-009507513-1301USA000006:

Other Meds:

Current Illness: Drug hypersensitivity; Lymphoma; Penicillin allergy

ID: 1146635
Sex: M
Age: 60
State: NY

Vax Date: 03/28/2021
Onset Date: 03/28/2021
Rec V Date: 03/30/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Error: Wrong Dose of Vaccine - Too High

Other Meds:

Current Illness:

ID: 1146636
Sex: F
Age: 39
State: VA

Vax Date: 03/26/2021
Onset Date: 03/26/2021
Rec V Date: 03/30/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: Individual administering the vaccine shot placed it too high causing an instant stiff neck on the side of the injections and a slight headache. Later that day, I had a bruise and a stiff arm. Injections was administered in the Left Arm Joint and not in the Muscle, causing symptoms listed above.

Other Meds: AM - QVAR, Multivitamin, Claritin. PM - QVAR, Vit D & B12, Biotin

Current Illness: Individual administering the vaccine shot placed it too high causing an instant stiff neck on the side of the injections and a slight headache. Later that day, I had a bruise and a stiff arm.

ID: 1146637
Sex: F
Age: 34
State: GA

Vax Date: 03/29/2021
Onset Date: 03/29/2021
Rec V Date: 03/30/2021
Hospital:

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

Lab Data:

Allergies: I was told as an infant that I have an allergic reaction to medications containing sulfur The only food I've ever had a reaction to is mangos

Symptom List:

Symptoms: within 30 minutes of the injection, my mouth and tongue started tingling and feeling numb at the same time. It felt like there was swelling but I did not see swelling when looking in the mirror at the back of my throat, so the numbness may have just made it feel swollen, I'm not sure. The best way to describe it is that my mouth, tongue, and throat felt like I had just received a numbing injection at the dentist or gargled with lidocaine. My throat also got very itchy and it was slightly difficult to swallow. I took 50 mg of Benadryl upon arriving home after the vaccination. The numbness and tingling lasted about 7 hours. I did not see a doctor, as my breathing was fine. The next morning, my throat is still itchy but numbness and tingling are gone.

Other Meds: zrytec and nasacort spray only were taken the morning of. Daily, I take the above plus the following supplements: Tumeric/Curcumin, D3, B12, Vit C, Zinc, but I had not taken them yet at the time of the vaccination.

Current Illness: seasonal allergies

ID: 1146638
Sex: M
Age: 81
State: KY

Vax Date: 03/28/2021
Onset Date: 03/29/2021
Rec V Date: 03/30/2021
Hospital:

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

Lab Data:

Allergies: NKDA OR NKA

Symptom List:

Symptoms: PRESENTED TO ED WITH BILATERAL LEG WEAKNESS

Other Meds: MEFORMIN, ASA, LIPITOR, COREG, JARDIANCE, LASIX, AMARYL, ENTRESTO, ALDACTONE

Current Illness: NONE

ID: 1146639
Sex: F
Age: 44
State: VA

Vax Date: 03/24/2021
Onset Date: 03/24/2021
Rec V Date: 03/30/2021
Hospital:

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

Lab Data:

Allergies: Ceclor, Amoxicillin, Codeine, sulfa meds, Neosporin, NSAIDS, Erythromycin, Heavy Metals, Molds, and other indoor and outdoor things

Symptom List:

Symptoms: Slight temporary dizziness right away, which could have been from blood pressure Mild headache within 15 mins - gone the next day Metal taste right away for two days and then intermittent for a couple of days Mild sore arm an hour or so after that lasted for about 4 days Moderate fatigue after about 3 hours - gone the next day Mild joint pain about 5 hours after - gone the next day

Other Meds: Gabapentin, Diclofenac, Claritin, Vitamin D3, Omeprazole

Current Illness:

ID: 1146640
Sex: F
Age: 71
State: WV

Vax Date: 03/18/2021
Onset Date: 03/18/2021
Rec V Date: 03/30/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Vaccine was administered during a drive through vaccine clinic. During the waiting period she had some facial flushing and felt nervous and dizzy. She was given Benadryl 50mg po. Symptoms resolved. She was monitored for an extra period of time after resolution of symptoms. She was dismissed to home with instructions to monitor carefully for any further symptoms and to seek medical attention should they occur.

Other Meds:

Current Illness:

ID: 1146641
Sex: F
Age:
State: NC

Vax Date:
Onset Date:
Rec V Date: 03/30/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Other severe and personal injuries; Transverse Myelitis; This initial spontaneous report was received from a lawyer regarding a case in litigation and refers to a patient female patient of 60-year-old. No information was provided regarding medical history, concurrent conditions, or concomitant medications. In 2008, the patient was vaccinated with zoster vaccine live (ZOSTAVAX) (lot#, expiration date, dose, dose# and route not specified). As a result of her receipt of zoster vaccine live (ZOSTAVAX), in 2008, the pt was caused to suffered transverse myelitis including any and all of its sequelae. As a result of her receipt of zoster vaccine live (ZOSTAVAX), the pt had been caused to suffered severe personal injuries, pain, suffering, and emotional distress, as well as to incur substantial economic damages. As a result of the foregoing acts and omissions, the pt was caused to suffered serious and dangerous side effects including Transverse myelitis, as well as other severe and personal injuries which are permanent and lasting in nature, physical pain and mental anguish, including diminished enjoyment of life, as well as the need for lifelong medical treatment, monitoring and or medications. As a result of the foregoing acts and omission the pt required or will require more health care and services and did incur medical, health, incidental and related expenses. As a foreseeable, direct, and proximate consequence, the pt suffered transverse myelitis and other related health complications. In addition, the pt required and will continue to require healthcare and services. The pt had incurred and will continue to incur in medical and related expenses. The pt had suffered and will continue to suffer diminished capacity for the enjoyment of life, a diminished quality of life, increased risk of premature death, aggravation of preexisting conditions, activation of latent conditions, an other losses and damages. The pt direct medical losses and costs included physician care, monitoring, and treatment. The pt had incurred and will continue to incur mental and physical pain and suffering. The pt was informed and believed and further alleged that pt will in the future required to obtained further medical and hospital care, attention, and services.The outcome of the events was reported as not recovered. Therefore, the causality for the events was related to zoster vaccine live (ZOSTAVAX) Upon internal review, the event Myelitis transverse was considered to be medically significant. Also, the lawyer considered Myelitis transverse and ill-defined disorder to be disabling events.

Other Meds:

Current Illness:

ID: 1146642
Sex: F
Age: 41
State: RI

Vax Date: 03/26/2021
Onset Date: 03/26/2021
Rec V Date: 03/30/2021
Hospital:

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

Lab Data:

Allergies: Erythromycin (not a true allergy but adverse effects side severe vomiting when 9 years old), fine when used on eyes for pink eye.

Symptom List:

Symptoms: Driving home from the vaccine I had double vision and a feeling like I was going up and down in an elevator. The next day I had the sore arm, aches and headache as expected. Sunday, started with carpal tunnel pain that extended from my left shoulder through my fingers as well as some vision issues where my eyes sort of had double vision again but I couldn?t blink it away for a minute. Monday morning I felt my right eye suddenly change vision where the one eye suddenly saw at a 45 degree angle. My husband said my eye looked ok but I could clearly see 2 of him and couldn?t blink it away for a solid minute or so. Today my eyes are blurry and I?m dizzy. I reported this to my doctor yesterday to see if what was happening was vaccine related and she asked me to report it here.

Other Meds: Zyrtec , Apris

Current Illness: None other than seasonal allergies

ID: 1146643
Sex: F
Age: 39
State: NY

Vax Date: 03/28/2021
Onset Date: 03/28/2021
Rec V Date: 03/30/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Error: Wrong Dose of Vaccine - Too High

Other Meds:

Current Illness:

ID: 1146644
Sex: M
Age: 46
State: IA

Vax Date: 03/29/2021
Onset Date: 03/29/2021
Rec V Date: 03/30/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List:

Symptoms: Patient stated he didnt feel well, had no t eaten since 10AM

Other Meds: Patient stated she didn't feel well. Had not eaten since 10 AM. Glucose taken, patient denied transport, crew explained risk of nt going to ED, patient signed refusal.

Current Illness: None

ID: 1146645
Sex: F
Age: 69
State: MA

Vax Date: 03/15/2021
Onset Date: 03/23/2021
Rec V Date: 03/30/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Swollen face with pain and itching Ic Famotidine 20mg twice a day Treatment Ic Cetirizine 10 mg once a day Benadryl 50 mg once a day

Other Meds: Lisinopril Hydro chlorot hiazide tab 20-12.5mg Pravastatin Sodium tab 20mg 3 Gabapentin Cap 300 mg Centrum Silver multi vitamin Calcium with vit D 2 fish oil 1400 mg (1000 mg Omega-3) 2 D3 1000 IU (25 mcg) 2 week Biotin 1000mcg Iron 65mg

Current Illness: None

ID: 1146646
Sex: F
Age: 19
State:

Vax Date: 03/29/2021
Onset Date: 03/29/2021
Rec V Date: 03/30/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: The patient felt dizzy after injection. After the patient laid down and was given juice the issue was resolved.

Other Meds:

Current Illness:

ID: 1146647
Sex: M
Age: 57
State: NY

Vax Date: 03/28/2021
Onset Date: 03/28/2021
Rec V Date: 03/30/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Error: Wrong Dose of Vaccine - Too High

Other Meds:

Current Illness:

ID: 1146648
Sex: F
Age: 37
State: NJ

Vax Date: 03/17/2021
Onset Date: 03/26/2021
Rec V Date: 03/30/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: On day 9 after receiving my first dose, I developed a large (approx. 2 inches long) red rash at the injection site, along with red rash marks from the band-aid. Some itchiness occurred.

Other Meds: Multi-vitamin and calcium supplement

Current Illness: N/A

ID: 1146650
Sex: F
Age: 56
State: FL

Vax Date: 03/25/2021
Onset Date: 03/25/2021
Rec V Date: 03/30/2021
Hospital:

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

Lab Data:

Allergies: pollen, trees, Bactrim, APAP, tegretol, wool

Symptom List:

Symptoms: 3/27-right hip hurts, blotches, feverish/diaphoretic, mouth dry What happened as a result of the adverse event? (doctor visit, ED or urgent care visit, hospitalization, life threatening illness, disability/permanent damage, death, none of these): Took ibuprofen and diphenhydramine Advised patient to seek medical attention for worsening symptoms; go to urgent care or contact PCP first thing on Monday morning. 3/29-Spoke with caller, states that she is back to her "old self", rash resolved, no longer diaphoretic, Took benadryl, ibuprofen and B12. Advised to contact us if she needs anything.

Other Meds: flonase singulair loratadine flexeril oxycodone lyrica

Current Illness:

ID: 1146651
Sex: M
Age: 57
State: MI

Vax Date: 03/29/2021
Onset Date: 03/30/2021
Rec V Date: 03/30/2021
Hospital:

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

Lab Data:

Allergies: None.

Symptom List:

Symptoms: He got his vaccine, had no issues immediately. He went to bed and woke up with headache, aching muscles, dry mouth, sore throat, and now has fever of 100.8. He took 2 baths to soak to get relief.

Other Meds: Lisinopril, Meloxicam, Cyclobenzaprine, Loratadine, Atorvastatin, fish oil, Men's one a day gummy, 81 mg aspirin.

Current Illness: None.

ID: 1146652
Sex: F
Age: 23
State: GA

Vax Date: 03/29/2021
Onset Date: 03/29/2021
Rec V Date: 03/30/2021
Hospital:

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

Lab Data:

Allergies: N/a

Symptom List:

Symptoms: Approximately 7 hours after receiving my second dose of the Pfizer/BioNtech COVID-19 vaccine, I developed soreness in my right arm near the injection site. Around two hours later, I noticed mild aching in my back and legs accompanied with a low grade fever of 99.0 degrees, compared to my normal temperature of 97.8 degrees.

Other Meds: Citalopram, Alyacen 7-7-7, Vitamin C OTC gummies.

Current Illness: N/a

ID: 1146653
Sex: F
Age: 70
State: TN

Vax Date: 03/04/2021
Onset Date: 03/05/2021
Rec V Date: 03/30/2021
Hospital:

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

Lab Data:

Allergies: unknow

Symptom List:

Symptoms: 3 weeks of fatigue, chills, night sweats, no fever, general malaise, sore throat, "odd" headache, loss of appetite

Other Meds: Levothyroxine Calcium supplement Daily Multivitamin

Current Illness: Cold 2weeks prior. Negative covid test

ID: 1146654
Sex: F
Age: 46
State: NY

Vax Date: 03/28/2021
Onset Date: 03/28/2021
Rec V Date: 03/30/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Error: Wrong Dose of Vaccine - Too High

Other Meds:

Current Illness:

ID: 1146655
Sex: M
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 03/30/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: bone marrow suppression; This spontaneous report as received from a consumer (patient's parent) regarding an 11-year-old male patient. The patient's pertinent medical history, drug reactions/allergies and concomitant medications were unknown by the reporter. On an unspecified date in 2021, reported as Friday 12th, the patient was vaccinated with a dose of quadrivalent human papillomavirus (types 6,11,16,18) recomb. vaccine (GARDASIL) injection (strength and route of administration were not provided; dose, frequency, lot number and expiration date were reported as unknown by the reporter) administered as prophylaxis. On an unspecified date in 2021, medical attention was sought and by Tuesday (16th), they were flown to a hospital and the patient was admitted, as the vaccine had suppressed his bone marrow; therefore, he had stopped producing platelets and was a risk of bleeding out. It was unknown by the reporter if any treatment was received due to the event, if diagnostic labs or studies were performed. On an unspecified date the subject was discharged, but at the time of the report he had not recovered and had very little platelets. Causal relationship between the event and quadrivalent human papillomavirus (types 6,11,16,18) recomb. vaccine (GARDASIL) was reported as related. The reporter considered the event to be life threatening as the vaccine almost killed the patient. Upon internal review, Bone marrow depression was considered as a medically significant event.

Other Meds:

Current Illness:

ID: 1146656
Sex: F
Age: 68
State: ME

Vax Date: 03/27/2021
Onset Date: 03/27/2021
Rec V Date: 03/30/2021
Hospital:

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

Lab Data:

Allergies: Sulfa, and Codeine

Symptom List:

Symptoms: My right arm started hurting a couple of hours after shot was given. Had been moving my arm since getting the shot with no pain at first. The pain is when I move my arm back to reach for anything or extend it to pick up something. Hurts to touch area of the shot, but not as painful as when I use the arm It is now 4 days later and the arm is still bothering me. I would say it is getting better. I've been taking Ibuprofen every night to sleep. Also been applying Icy Hot to the area when needed. When pain is the worst I have applied a cold pack.

Other Meds: Medroxyprogesterone Acetate 2.5 mg, Low dose aspirin 81 mg, Lisinopril 10 mg, and Vit. D

Current Illness: None

ID: 1146658
Sex: M
Age: 58
State: OK

Vax Date: 03/24/2021
Onset Date: 03/27/2021
Rec V Date: 03/30/2021
Hospital:

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

Lab Data:

Allergies: ANTIHISTIMINE

Symptom List:

Symptoms: Received 1st Pfizer vaccination on 3/24/21 at 2:50 PM in left arm at college campus where I am employed ( - ). No pain or rash whatsoever. On Saturday 3/27,21, almost 4 days later, at about 1:00 PM, felt hives breaking out on my sides. It traveled up to my lower armpits, but never went into my arm areas. Later that day, it traveled down side of legs, but then dissipated. I went to bed about 9:30 PM that night with only slight discomfort. At 1:30 AM on Sunday 3/28/21, I awoke with severely swollen lips and face. My breathing began to get difficult, so I immediately headed to the ER at (about 30 minutes away). They at first started to give me a dose of Benedryl, but I explained to them that I am allergic to it. I then instead received some Prednisone and immediately the swelling subsided. Dr. prescribed 15 pills over a 5-day span to totally clear up the reaction.

Other Meds: I take zero medications

Current Illness: None

Total 2021 VAERS Injuries: 289,800

Page last modified: 03 October 2021 5:28pm