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: 1218033
Sex: F
Age:
State: TN

Vax Date:
Onset Date: 03/16/2021
Rec V Date: 04/16/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Dysphagia, Epiglottitis

Symptoms: HOT AND COLD FLASHES; STOMACH PAINS; REALLY BAD BACK PAIN; NECK PAIN; CHILLS; REALLY BAD HEADACHE; EXHAUSTION; This spontaneous report received from a patient concerned a 21 year old female. The patient's height, and weight were not reported. The patient's concurrent conditions included stomach pains. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1805025, expiry: UNKNOWN) dose was not reported, administered on 16-MAR-2021 for prophylactic vaccination. No concomitant medications were reported. On 16-MAR-2021, the subject experienced hot and cold flashes. On 16-MAR-2021, the subject experienced stomach pains. On 16-MAR-2021, the subject experienced really bad back pain. On 16-MAR-2021, the subject experienced neck pain. On 16-MAR-2021, the subject experienced chills. On 16-MAR-2021, the subject experienced really bad headache. On 16-MAR-2021, the subject experienced exhaustion. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from hot and cold flashes, and chills on 18-MAR-2021, had not recovered from really bad headache, exhaustion, really bad back pain, and neck pain, and the outcome of stomach pains was not reported. This report was non-serious.

Other Meds:

Current Illness: Stomach pain

ID: 1218034
Sex: M
Age:
State: MN

Vax Date:
Onset Date: 04/08/2021
Rec V Date: 04/16/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Anxiety, Dyspnoea

Symptoms: SHORTNESS OF BREATH / BREATH TAKEN AWAY; SHALLOW BREATHING; FOUL BREATH; CHANGE IN SALIVA; HARSH FEELING IN LUNGS; LESS ATTENTION; SLUGGISH; CONFUSION; MUSCLE SORENESS; EXHAUSTED; NAUSEA; INJECTION SITE SORENESS; This spontaneous report received from a patient concerned a 43 year old male. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, intramuscular, batch number: 043A21A, expiry: /JUN/2020) dose was not reported, administered on 08-APR-2021 13:30 for prophylactic vaccination. No concomitant medications were reported. On 08-APR-2021, the subject experienced injection site soreness. On 09-APR-2021, the subject experienced shortness of breath / breath taken away. On 09-APR-2021, the subject experienced shallow breathing. On 09-APR-2021, the subject experienced foul breath. On 09-APR-2021, the subject experienced change in saliva. On 09-APR-2021, the subject experienced harsh feeling in lungs. On 09-APR-2021, the subject experienced less attention. On 09-APR-2021, the subject experienced sluggish. On 09-APR-2021, the subject experienced confusion. On 09-APR-2021, the subject experienced muscle soreness. On 09-APR-2021, the subject experienced exhausted. On 09-APR-2021, the subject experienced nausea. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from injection site soreness, muscle soreness, and nausea, had not recovered from confusion, exhausted, change in saliva, shortness of breath / breath taken away, shallow breathing, foul breath, and harsh feeling in lungs, and the outcome of sluggish and less attention was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1218035
Sex: F
Age:
State: MD

Vax Date:
Onset Date: 04/13/2021
Rec V Date: 04/16/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: LEG/FOOT CRAMPS; LEG/FOOT PAIN; This spontaneous report received from a patient concerned an elderly female. The patient's height, and weight were not reported. The patient's concurrent conditions included leg cramps, and other pre-existing medical conditions included patient had no known allergies .The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 042A21A, expiry: 21-JUN-2021) dose was not reported, administered on 08-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 13-APR-2021, the subject experienced leg/foot cramps. On 13-APR-2021, the subject experienced leg/foot pain. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from leg/foot cramps, and leg/foot pain on 13-APR-2021. This report was non-serious.

Other Meds:

Current Illness: Leg cramps

ID: 1218036
Sex: M
Age:
State: CA

Vax Date:
Onset Date: 03/01/2021
Rec V Date: 04/16/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: FLU-LIKE SYMPTOMS; This spontaneous report received from a consumer concerned a male of unspecified age. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose was not reported, administered on MAR-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On MAR-2021, the subject experienced flu-like symptoms. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from flu-like symptoms on MAR-2021. This report was non-serious.

Other Meds:

Current Illness:

ID: 1218037
Sex: M
Age:
State:

Vax Date:
Onset Date: 04/01/2021
Rec V Date: 04/16/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: HEAVINESS ON UPPER TORSO UPON STANDING / FELT LIKE LOWER SPINE OR BACK WAS COLLAPSING OR BUCKLING UNDER WEIGHT; MUSCLE WEAKNESS; JOINT PAIN IN LOWER BACK / KNEE AND RIGHT HAND KNUCKLES; CHILLS; MUSCLE ACHES; MILD HEADACHES; This spontaneous report received from a patient concerned a 51 year old male. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 205A21A, expiry: UNKNOWN) dose was not reported, administered on 11-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On APR-2021, the subject experienced heaviness on upper torso upon standing//felt like lower spine or back was collapsing or buckling under weight. On APR-2021, the subject experienced muscle weakness. On APR-2021, the subject experienced joint pain in lower back, knee and right hand knuckles. On APR-2021, the subject experienced chills. On APR-2021, the subject experienced muscle aches. On APR-2021, the subject experienced mild headaches. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from chills, and mild headaches on APR-2021, and the outcome of muscle aches, muscle weakness, joint pain in lower back, knee and right hand knuckles and heaviness on upper torso upon standing//felt like lower spine or back was collapsing or buckling under weight was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1218038
Sex: M
Age: 41
State: NJ

Vax Date: 04/11/2021
Onset Date: 04/11/2021
Rec V Date: 04/16/2021
Hospital:

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

Lab Data:

Allergies: none known

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

Symptoms: Patient is an otherwise healthy 41-year-old male who presents emergency department for evaluation of reaction after giving the 1st dose of a COVID vaccine. Patient states he did not eat much for breakfast, drank 2 cups of coffee. He got the vaccine and 5-10 minutes later began to feel lightheaded, flushed and warm. He denies any difficulty breathing. Denies any difficulty swallowing. Denies any rash or itchiness. Denies any nausea, vomiting or diarrhea. Patient was brought to the emergency department for further evaluation.

Other Meds: naproxen (NAPROSYN) 500 mg tablet

Current Illness: Hypercholesterolemia

ID: 1218040
Sex: F
Age: 18
State: PA

Vax Date: 04/15/2020
Onset Date: 04/15/2021
Rec V Date: 04/16/2021
Hospital:

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

Lab Data:

Allergies: amoxicillin

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Received COVID shot #2 in the morning. Went to a GI specialist appointment and noted irregular heart beat on exam. Referred to see PCP that same day Saw pediatrician, did EKG and PVCs noted and heard. Referred to cardiologist

Other Meds: omeprazole 20mg daily estasrylla 1 tab daily

Current Illness: none

ID: 1218041
Sex: M
Age: 44
State:

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 04/16/2021
Hospital:

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

Lab Data:

Allergies: NKDA

Symptom List: Pharyngeal swelling

Symptoms: Patient reported to medical clinic 24 hours after COVID 19 injection (03/19/2021) with symptoms of visual hallucinations, myalgia, rigors, headache, nausea, vomiting and dehydration. At the time of arrival to the medical clinic, he had refractory nausea and vomiting after receiving Zofran earlier in the day at another clinical site. Medical treatment consisted of IV Fluid bolus with maintenance fluids, IV Phenergan for the nausea and vomiting, and IV Ketorolac for headache pain. His symptoms resolved and he started to feel better so a clinical decision was made to discharge him home in the care of a close friend. He planned to follow-up the next day. The patient returned to medical Clinic on 03/22/2021 with no specific symptoms. Previous symptoms from initial encounter resolved according to medical chart. Patient returned on 03/28/2021 with right upper arm DVT proven on U/S. He was seen at Primary Care Clinic beforehand where diagnosis of DVT was made. He was then started on anticoagulation therapy by MD in clinic after specialist phone consult, and will be closely followed. He was sent to Evacuation to home station due to the complexity of the condition, medications, etc.

Other Meds: None

Current Illness: None

ID: 1218042
Sex: M
Age: 53
State: IN

Vax Date: 04/14/2021
Onset Date: 04/14/2021
Rec V Date: 04/16/2021
Hospital:

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

Lab Data:

Allergies: FOODS: fish (all fish), shrimp (and all shell fish), corn, green beans (all string beans), potato, beef, cottonseed, garlic, mustard, apple, grape, mango, peach, pear, cinnamon, vanilla, walnut (all nuts), wheat

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: fatigue; general muscle and joint aches/soreness; arthritic pain and weakness in hands, especially left hand.

Other Meds: Albuterol, Zyrtec, Flovent, Flonase Sensi-mist

Current Illness:

ID: 1218043
Sex: F
Age: 28
State: NC

Vax Date: 04/15/2021
Onset Date: 04/16/2021
Rec V Date: 04/16/2021
Hospital:

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

Lab Data:

Allergies: Allergic to Wellbutrin

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Temporary paralysis in my right hand. Around 9am today, my hand began making these involuntary movements and suddenly got very tense, almost like a claw. I had no control over my hand and it remained in this distorted position for about 1 minute before my hand relaxed back to its normal state.

Other Meds: N/A

Current Illness: No

ID: 1218044
Sex: F
Age: 55
State: WI

Vax Date: 04/03/2021
Onset Date: 04/03/2021
Rec V Date: 04/16/2021
Hospital: Y

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

Lab Data:

Allergies: Epinephrine - tachycardia WPW Syndrome Lupron - same as above Nasal allergy sprays - same as Epi Latex tape - welts hives redness

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

Symptoms: First COVID19 shot felt fast heartbeat but seemed to subside in couple hours Second COVID19 shot same fast heartbeat seemed to subside but I was tired. Next day it felt as if someone threw a fast pitch softball at my chest took my breath away seemed to last several minutes then extreme heartburn set in. Very fatigued, heart burn lasted 9 days. Starting on 4/5/21 joint pain also started in my new hip. On 4/12/21 jaw pain set in at which point went to urgent care.

Other Meds: Premarin .3 mg twice daily Vitamin D3 5000 IU Vitamin b12 1000 mcg Wal-tin 24 hr allergy loratadine tablets 10 mg

Current Illness: None

ID: 1218045
Sex: M
Age: 83
State:

Vax Date: 03/11/2021
Onset Date: 03/12/2021
Rec V Date: 04/16/2021
Hospital:

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

Lab Data:

Allergies: nil

Symptom List: Rash, Urticaria

Symptoms: Rapid heart beat up to 164ppm Went to hospital emergency twice.

Other Meds: AMLODIPINE BESYLATE 5mg 1 daily ATORVASTATIN CALCIUM 40 mg 1 daily ACETYLSALICYLIC ACID 81 mg 1 daily.

Current Illness: nil

ID: 1218046
Sex: F
Age: 37
State:

Vax Date: 04/09/2021
Onset Date: 04/10/2021
Rec V Date: 04/16/2021
Hospital:

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

Lab Data:

Allergies: Persimmons, muscadine grapes (both cause anaphalaxis), other fruit only cause minor itching or oral reaction (skin on gums peeling etc.)

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

Symptoms: Left arm swelling from size of a Nickle to the size of a tennis ball, swollen, hard, warm, ended up causing whole are to be warm.

Other Meds: None

Current Illness: None

ID: 1218047
Sex: M
Age: 42
State: NY

Vax Date: 04/10/2021
Onset Date: 04/14/2021
Rec V Date: 04/16/2021
Hospital: Y

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

Lab Data:

Allergies: Erythromycin

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

Symptoms: 72 hours after receiving the shot I had debilitating vertigo and nausea, as well as rapid heartbeat. I went to the ER and was admitted for 2 days. I am still currently experiencing dizziness on Friday April 16th 2021.

Other Meds: None

Current Illness: None

ID: 1218048
Sex: F
Age: 44
State: NC

Vax Date: 04/08/2021
Onset Date: 04/09/2021
Rec V Date: 04/16/2021
Hospital:

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

Lab Data:

Allergies: NKA

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

Symptoms: Persistent headache and leg pain the day after recieving the shot that has continued through a week at least until reported date of 4/16/21. Patient does not report any swelling associated with leg pain and has admitted to not drinking as much water as she should because of issues with her stomach. Encouraged her to stay well hydrated as that is most common cause of her symptoms. She also did not report any issues in the past with her platelets.

Other Meds: uknown

Current Illness: none

ID: 1218049
Sex: F
Age: 51
State: IN

Vax Date: 04/14/2021
Onset Date: 04/15/2021
Rec V Date: 04/16/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Achiness, low grade fever, heavy arm, fatigue

Other Meds: Depakote, Celexa, Buspar, Gabapentin, Maxalt, Tamoxifen, Naltrexone, Prilosec, Zyrtec, multivitamins, Naproxen sodium

Current Illness: Stomach bug 2 weeks prior

ID: 1218050
Sex: F
Age: 32
State: TX

Vax Date: 02/05/2021
Onset Date: 03/08/2021
Rec V Date: 04/16/2021
Hospital:

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

Lab Data:

Allergies: None at the time of vaccination

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

Symptoms: ? Prior to anything, I have never been allergic to anything all my life and all of a sudden, I am allergic to almost everything I touch, eat and places I go. ? I have constant red rashes that appear ? My face has been swollen for 39 days now and has not gone back to normal once since this all started. ? During the weekend of March 6th, I was outside in my yard mulching, pulling out dead plants and planting new ones. ? March 8th, 2021, I woke up with a swollen LEFT forearm. Went to urgent care. Told to ice and take Aleve. ? On March 9, 2021, I woke up with a swollen face only on LEFT side and went back to urgent care and gave me prednisone 6 days to take. ? On March 12th, my arm was healing but my face was not and ended up swollen on both sides so I went to a different urgent care and they started me on antibiotics but didn?t not have me treated for anything specific because they were unsure what was happening and recommended to see an allergist. ? On March 15th, is saw an allergist. He said the swollen arm and face were from an allergic reaction so they did round one of allergy testing for environmental, molds, cats/dogs and some food categories since I thought it was from yard work. I tested positive on almost all 80 tests and had to go back on March 17 for the second round of allergy testing and the final results. ? On March 17th, I finished round two of allergy testing and was mostly positive on everything. The 8 food categories I was only positive for two, soybean and peanuts. ? I decided to sign up for allergy drops rather than the shots twice a week. In the meantime, of waiting for the drops to get made I was put on more predisone, allergra, and one tablet of hydroxyzine hcl 25mg at night. ? A week late my face was still swollen and nothing was working. I called the doctor office and they said to double the hydroxyzine at night. ? On March 29th, my face was still EXTREMELY swollen so we did a CT scan. Had bad sinus infection. He removed the Allegra and put me on one Clemastine 2.68mg in the morning. He then sent me for blood work. I went that evening. ? On March 31st, I went to get my hair done with the same hair stylist and with the same bleach I?ve been doing on my hair for 13+ years with. I have never once broken out or had a reaction but this time I did. My face, neck, chest was boiling red of a rash. ? On April 5th, I went back and all my blood work was good. However, my face was STILL swollen and hadn?t gone back to normal in since March 7. I stayed on the same meds and started the allergy drops. ? On April 12th, I went to get my nails done and broke out in another red boiling rash with another reaction. Been going to the same lady for 10+ years and never had a reaction or rash. ? On April 13th, I went to the dentist and got a filling re done and molded for a retainer to get whitening gel. After the numbing shot and molding, I immediately broke out in a red rash all over, face swelled up way bigger than it already was and within 30 mins couldn?t breathe well and had to use my epi pen. I was able to breathe again. ? On April 14th, I went back to the doctor because I had a red-hot rash all over my body that will not go away and the doctor said it?s unknown of what?s exactly going on right now. I got put on more prednisone for the rash. I go back on April 21st for a follow up. 38 DAYS LATER and my face has NOT ONCE gone back to normal and rashes are still appearing each day. I have went from being allergic to absolutely nothing to what it feels like almost everything. Every time I eat this week something swells up more and rashes appear more red. No medicine is working. It?s getting out of control at this point.

Other Meds: Adderall 30MG XR at 5am

Current Illness: N/A

ID: 1218051
Sex: M
Age: 23
State: NC

Vax Date: 04/15/2021
Onset Date: 04/16/2021
Rec V Date: 04/16/2021
Hospital:

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

Lab Data:

Allergies: All nuts

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Chills, fatigue, fever, headache, muscle/joint pain

Other Meds:

Current Illness:

ID: 1218052
Sex: F
Age: 44
State: MN

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 04/16/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Dry throat immediately. Sinus pain, ear pain, teeth pain, and neck pain increasing. Injection site pain

Other Meds: none

Current Illness: slight sinus issues

ID: 1218053
Sex: M
Age: 31
State: IL

Vax Date: 04/14/2021
Onset Date: 04/15/2021
Rec V Date: 04/16/2021
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: Cold chills and my stomach has been hurting

Other Meds:

Current Illness: Had a little cold. 24 hour bug

ID: 1218054
Sex: M
Age: 31
State: LA

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 04/16/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Received the shot in left shoulder. Was browsing phone for about 30 seconds to a minute. Felt a rising sensation in the esophagus. Felt as though nausea was impending. Sensation rose into skull in "crawling waves". Skull felt heavy. Interpreted the sensation as disorientation. Asked pharmacist if dizziness was normal with the vaccine. Woke up a few seconds later picking myself up off the floor.

Other Meds: None

Current Illness: None

ID: 1218055
Sex: M
Age: 31
State: WA

Vax Date: 04/15/2021
Onset Date: 04/16/2021
Rec V Date: 04/16/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List: Unevaluable event

Symptoms: Sore arm 1-2 hours after injection. After roughly 14 hours, I am experiencing flu like symptoms to include a fever (102F), sore throat, diarrhea, body/muscle aches, mild confusion, and lethargy.

Other Meds: Biktarvy, Fish Oil, Vitamin D-3

Current Illness:

ID: 1218056
Sex: F
Age: 44
State: AL

Vax Date: 04/15/2021
Onset Date: 04/16/2021
Rec V Date: 04/16/2021
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: She got the vaccine, had arm pain, minor swelling, basic reactions, headaches and took Aleve for it. She then starting late last night she has sharp, stabbing chest pains, as well as swollen right eye. She has not taken anything and does not have a PCP to call.

Other Meds: None.

Current Illness: None.

ID: 1218057
Sex: F
Age: 33
State: IN

Vax Date: 04/14/2021
Onset Date: 04/14/2021
Rec V Date: 04/16/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Pain

Symptoms: Pain at the site of injection and difficulty to move arm. Generalized moderate body pain and headache. Symptoms lasted for about 12 hours.

Other Meds:

Current Illness:

ID: 1218058
Sex: F
Age: 27
State: FL

Vax Date: 04/07/2021
Onset Date: 04/15/2021
Rec V Date: 04/16/2021
Hospital:

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

Lab Data:

Allergies: allergic to wheat, cucumber, mesquite, medical grade adhesives

Symptom List: Injection site pain, Menorrhagia

Symptoms: Felt dizzy and lethargic within 2 minutes of receiving the first dose, got a ride home and had to nap for most of the day. I experienced swelling and inflammation on my left arm after receiving the vaccine that subsided over the course of a week. 8 days later, when I was feeling better, I did a one hour pilates workout at home, and my vaccine site turned red after and started swelling up again with itchy blotchy spots. The next morning (today) the blotchy spots were larger and starting to connect with each other. Extremely itchy. I will avoid working out and hope the reaction goes away instead of continuing to get worse.

Other Meds:

Current Illness: N/A

ID: 1218059
Sex: F
Age: 40
State: NY

Vax Date: 04/14/2021
Onset Date: 04/16/2021
Rec V Date: 04/16/2021
Hospital:

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

Lab Data:

Allergies: Lamictal allergy

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

Symptoms: localized slightly raised area of erythema few centimeters below the injection site of the left arm. no treatment warranted at this time, only observation. rash is not pruritic or painful.

Other Meds: tylenol taken 4/15/2021

Current Illness: ovarian cyst burst about one month ago

ID: 1218060
Sex: M
Age: 70
State: MI

Vax Date: 02/19/2021
Onset Date: 03/09/2021
Rec V Date: 04/16/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: ITP

Other Meds: Tacrolimus 2 mg and 1.5 mg Prednisone 10 mg qd Inhaled amphotericin B 25 mg weekly Bactrim DS MWF Cefoxitin 2 gr IV q8, Eravacycline 1 mg/kg IV q q12hrs and Amikacin M-W-F

Current Illness: Mycobacterium abscessus wound infection (treated with doxycycline for 2 weeks in early January 2020; imipenem , doxycycline and azithromycin in early february to 04/04/2021; confirmed MDR organisms ABX switched to amikacin + eravacycline + linezolid (linezolid stopped on hospital admission on 03/19/2021 and cefoxitin added ) Hyperlipidemia CAD s/p CABG Hypothyroidism IPF (primary lung disease)

ID: 1218061
Sex: F
Age: 40
State: CT

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/16/2021
Hospital:

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

Lab Data:

Allergies: Tetracycline, bananas, pineapples, melon, cantelope

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Later that day I started getting pain in the hip/groin area of my left leg preventing me from putting pressure on it or walking. The acute pain diminshed after about 3 hr and I could walk again but the hip flexor area remained tender and felt like a sore muscle had been pulled for about 3 days. About 5pm I developed really bad chills which lasted about 24 hrs and was really intense about the first 6hr. About 11pm I developed a severe headache preventing me from sleeping which lasted about 9hrs. 4/10 I had occassional chills, the headache had subsided a little but had a nagging tension feeling and I was really fatigued and really wiped out the remainder of that day. My Gynecologist advised I stopped taking my Birth Control for the next month to lower my risk of blood clots.

Other Meds: Adarol XR, Low Estrogen, Zyrtec

Current Illness: no

ID: 1218062
Sex: F
Age: 49
State: NJ

Vax Date: 04/03/2021
Onset Date: 04/11/2021
Rec V Date: 04/16/2021
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: 1 day after - soreness at injection site when touched 2 days after - soreness gone and for the next week seemed fine 7 days after - felt overall "off" 8 days after - raised rash at the injection site about 1 inch wide, still felt off and sluggish. No fever 10 days after - non raised rash that spread to about 3-4 inches wide at injection site, nausea, dizziness. No fever. This has lasted from day 8-13 (current day) but has lessened towards days 12 & 13

Other Meds: none

Current Illness: none

ID: 1218063
Sex: F
Age: 25
State: KY

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 04/16/2021
Hospital: Y

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

Lab Data:

Allergies: None reported

Symptom List: Nausea

Symptoms: Pt sister reported that: Pt. after receiving the first dose had a severe allergic reaction within minutes of being vaccinated and required an ambulance and was transported to Hospital ED and then discharged. Them her sister said she was taken later to another hospital where she was admitted to the ICU. She said her sister was later discharged but is "still having seizures". Note: our clinic staff that observe patients with no allergy history for the minimum recommended time of 15 minutes post vaccination do not have any recollection of an allergic reaction or an ambulance coming to clinic to transport this patient.

Other Meds:

Current Illness:

ID: 1218064
Sex: M
Age: 70
State: OH

Vax Date: 03/03/2021
Onset Date: 03/05/2021
Rec V Date: 04/16/2021
Hospital: Y

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

Lab Data:

Allergies: None

Symptom List: Injection site pain

Symptoms: Patient was in usual healthy state - received 1st dose of Pfizer vaccine 3/3, 1-2 days later developed expected reaction (low grade fever, sore arm) - then shortly after developed severe burning in bilateral lower extremities, followed by subsequent development of a necrotic ulcerations. Also then occurred on bilateral arms. Biopsy proven pyoderma gangrenosum - currently being treated with steroids

Other Meds: Finasteride Furosemide Lactulose PRN Magnesium oxide Pantoprazole Spironolactone Tamsulosin

Current Illness: None

ID: 1218065
Sex: M
Age: 70
State: VA

Vax Date: 02/09/2021
Onset Date: 03/29/2021
Rec V Date: 04/16/2021
Hospital:

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

Lab Data:

Allergies: penicillin

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

Symptoms: New onset of high blood pressure requiring medical treatment

Other Meds: none

Current Illness: none

ID: 1218066
Sex: M
Age: 27
State: NC

Vax Date: 03/31/2021
Onset Date: 03/31/2021
Rec V Date: 04/16/2021
Hospital:

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

Lab Data:

Allergies: N/A

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

Symptoms: Chills, Muscle aches throughout my body, Elevated Heartrate (~115bpm while laying down trying to sleep-recorded on fitbit), could not sleep due to symptoms persisting through the night. Took tylenol in the morning and symptoms faded soon after. Took another dose of tylenol in the afternoon when symptoms seemed to be returning. Symptoms did not return afterwards

Other Meds: N/A

Current Illness: N/A

ID: 1218067
Sex: F
Age: 54
State: IN

Vax Date: 04/09/2021
Onset Date: 04/14/2021
Rec V Date: 04/16/2021
Hospital:

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

Lab Data:

Allergies: Bactrim

Symptom List: Tremor

Symptoms: severe headache, dizziness and blurred vision

Other Meds:

Current Illness: severe headache, dizziness and blurry vision

ID: 1218068
Sex: M
Age: 62
State: PA

Vax Date: 04/15/2021
Onset Date: 04/16/2021
Rec V Date: 04/16/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Erythema, Pruritus

Symptoms: I had / have no symptoms.....I did not even feel the vaccine going into my arm. I have no mark on my arm from the syringe. I have no soreness at the spot of injection. No blood even came out after the syringe was removed. I have no side affects 24 hours later. I wonder if I even got the vaccine or just air.

Other Meds: Amlodopine Chlorthalodone

Current Illness: Hello RE...second dosage I'm making this report because I have had NO adverse affects. I did not even feel the vaccine go into my arm. I have no arm pain, no side affects. My feeling is was I administered empty syringe ?

ID: 1218069
Sex: M
Age: 50
State: IN

Vax Date: 04/14/2021
Onset Date: 04/14/2021
Rec V Date: 04/16/2021
Hospital:

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

Lab Data:

Allergies: none

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

Symptoms: moderate to severe muscle and joint aches. fever on and off again. unable to sleep the day of vaccination due to muscle pain and inability to lay down.

Other Meds: adderal, buspar

Current Illness: none

ID: 1218070
Sex: M
Age: 56
State: MA

Vax Date: 04/03/2021
Onset Date: 04/04/2021
Rec V Date: 04/16/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Since Janssen vaccine was administered, the patient's genital herpes has been suppressed without daily use of valacyclovir. This is 12 days at time of this report. Prior to it, he will developed vesicles in clusters in the same area of the penis as soon as two days with out valacyclovir. Thought this is not an " adverse" effects is an unintended side effect of the vaccine.

Other Meds:

Current Illness:

ID: 1218071
Sex: M
Age: 59
State: ME

Vax Date: 04/07/2021
Onset Date: 04/08/2021
Rec V Date: 04/16/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Extreme Fatigue, headache, body aches, nausea, flu like symptoms, incapacitated for 31.5 hours, starting 7.5 hours after 2nd Moderna Covid 19 vaccine injection dosage was administered. Only injection site pain after first vaccine.

Other Meds: 15mg daily of Glipizide. 1 drop in each eye of generic Latanaprost. A daily multivitamin

Current Illness: None.

ID: 1218072
Sex: M
Age: 37
State: MO

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/16/2021
Hospital:

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: After patient received this vaccine dose, it was discovered that the vial had been stored outside of the recommended temperature range calling into question its efficacy After conferring with immunization experts it was determined that this dose needs to be repeated. Patient was contacted by the person completing this form and made aware of this information. The patient has agreed to repeat this vaccine dose and has scheduled to return on 4/21/2021.

Other Meds:

Current Illness:

ID: 1218073
Sex: F
Age: 52
State: VA

Vax Date: 03/26/2021
Onset Date: 03/26/2021
Rec V Date: 04/16/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: On the evening of my first vaccine shot, I developed tinnitus. I have had it every day for 3 weeks.

Other Meds: omeprazole, vitamin D

Current Illness:

ID: 1218074
Sex: F
Age: 75
State:

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 04/16/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pain in extremity

Symptoms: patient c/o itching at back of neck and chest. Benadryl 25 mg PO given

Other Meds:

Current Illness:

ID: 1218075
Sex: M
Age: 49
State: IN

Vax Date: 04/14/2021
Onset Date: 04/14/2021
Rec V Date: 04/16/2021
Hospital:

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

Lab Data:

Allergies: none

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

Symptoms: headache, chills, muscle pain

Other Meds: Metformin, Novalog, Humalog, Lisinopril

Current Illness: none

ID: 1218076
Sex: M
Age: 72
State: OH

Vax Date: 03/02/2021
Onset Date: 03/07/2021
Rec V Date: 04/16/2021
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: skin numbness sensation in right side back, migrating across top of back at shoulder level. extreme sensation of bugs crawling on skin in those areas. tingling and numbness down left arm. tingling and numbness in l thumb and first 2 fingers of left and right hands. very high sensitivity in touch on those digits causing sharp pain in fingers at sight of pressure or contact. tingling and numbness on right and left thigh and calf. slight tingling and numbness in middle toe of right foot.

Other Meds: Omeprazole 20 mg OTC, 1 every other day for acid reflux bioflavanoid 1000mg OTC, 1 every other day for tinnitus

Current Illness: none

ID: 1218077
Sex: F
Age: 32
State: IN

Vax Date: 04/13/2021
Onset Date: 04/13/2021
Rec V Date: 04/16/2021
Hospital:

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

Lab Data:

Allergies: Nitrates

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

Symptoms: Constant headache, fever of 100.5, full body aches, dizzy, nauseau, fainting, loss of appetite - all between 930pm and 3pm of next day.

Other Meds: Pantoprazole, Xyzal, prenatal vitamins

Current Illness: N/A

ID: 1218078
Sex: F
Age: 32
State: OH

Vax Date: 04/14/2021
Onset Date: 04/15/2021
Rec V Date: 04/16/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Vomiting

Symptoms: headache, fever/chills, nausea, body aches began at 2:30 am the day after the 2nd dose (11 hours after) and lasted 20 hours took 400 mg/Motrin 2x, then 2 capsules of Excedrin Migraine

Other Meds: Escitalopram Full circle prenatal vitamin Fish oil Active Ubiquinol CoQ10 Theraflavone Women's Care Probiotic

Current Illness: none

ID: 1218079
Sex: F
Age: 49
State: NE

Vax Date: 04/06/2021
Onset Date: 04/10/2021
Rec V Date: 04/16/2021
Hospital:

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

Lab Data:

Allergies: Latex

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Nausea and as of 4/14/21 extreme left hip pain and aches. Hurts sitting down and walking on left side of hip. Struggle to sit up after laying down.

Other Meds: One a day women's vitamin, Estoven

Current Illness: None

ID: 1218080
Sex: F
Age: 48
State: WI

Vax Date: 01/31/2021
Onset Date: 02/04/2021
Rec V Date: 04/16/2021
Hospital:

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

Lab Data:

Allergies: Polymyxin B eye drops, tobramycin eye drops

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

Symptoms: Woke around 7am with a severe headache and nausea. Developed vertigo (which I thought was related to my concussion as I had had vertigo with that, but really not any headaches or nausea) about an hour later. Vomited 3 times between 8am and 3pm. Around 10:30am developed chills and shivering. Felt really ill all day until about 5pm when I felt like I could eat and drink; the headache eased up by then as well. For the next 4 days after this I had sweats that would come and go. I would suddenly and unpredictably get very warm, break out into sweats, and after a short time (5-10 minutes) it would pass.

Other Meds: Synthroid, Liothyronine, multivitamin, B complex, zinc, magnesium , fish oil, Vit D3

Current Illness: None; did sustain a concussion on 1/15/2021

ID: 1218082
Sex: F
Age: 44
State: CO

Vax Date: 04/07/2021
Onset Date: 04/15/2021
Rec V Date: 04/16/2021
Hospital:

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

Lab Data:

Allergies: Penicillin, progesterone

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Woke up with hearing loss and sensitivity to loud sounds.

Other Meds: Vitamin D, anti-biotics

Current Illness: none

ID: 1218083
Sex: F
Age: 15
State: NH

Vax Date: 03/05/2021
Onset Date: 03/05/2021
Rec V Date: 04/16/2021
Hospital:

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

Lab Data:

Allergies: Unknown

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

Symptoms: VR was under 16 YOA - Improper treatment

Other Meds: Unknown

Current Illness: Unknown

ID: 1218084
Sex: F
Age: 23
State: FL

Vax Date: 04/13/2021
Onset Date: 04/13/2021
Rec V Date: 04/16/2021
Hospital:

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

Lab Data:

Allergies: n/a

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

Symptoms: Feel like fainting X30 sec. and shaking. V/S BP 102/56, HR 70, O2Sat 99% 10:06am Pt. left accompanied by dad saying that she normally experiences these feelings after getting vaccines and is feeling better now.

Other Meds: n/a

Current Illness: n/a

Total 2021 VAERS Injuries: 704,237

Page last modified: 26 October 2021 2:21am