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: 1223751
Sex: F
Age: 63
State: WI

Vax Date: 04/15/2021
Onset Date: 04/17/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies: Penicillin, atavan, adhesives used on medical products (e.g. bandaids, tape), shell fish, Iodine, molds, mildew, pollens, horse dander.

Symptom List:

Symptoms: I received Moderna COVID-19 Vaccine on April 15, 2021. On 04/16/2021 I had some pain in the deltoid region of my shoulder where the injection was given. On 04/17/2021 at 06:00am, I noticed I had blotchy red hives on my upper chest. At 11:00 am the redness and hives had progressed to my abdomen. I took a 25 mg dose of Diphenhydramine at 11:00 am. At 12 pm, the hives were progressing to my lower neck region. I took a 25 mg dose of Diphenhydramine at 12:00 pm. The hives on my abdomen subsided. At 05:00pm, the redness and hives were more obvious on my neck and upper chest. I took a dose of 25 mg of Diphenhydramine at 5:00.

Other Meds: Magnesium Oxide, Fish Oil, Glucosamine, Loratadine, Vitamin D, aspirin,

Current Illness: none

ID: 1223752
Sex: F
Age: 58
State: MO

Vax Date: 04/16/2021
Onset Date: 04/16/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies: ACE inhibitors

Symptom List:

Symptoms: Fever 101.1, chills, lymph node under left arm swollen and very painful, neck aches,bilateral shoulders ache,upper back aches,bilateral wrist aches,nauseous,extreme fatigue, chest pain anxiety short of breath

Other Meds: Vicodin,tramadol,Xanax,potassium,carvediol,losartin,triamterene/htz,atrovastian

Current Illness: Chronic back and leg pain

ID: 1223753
Sex: M
Age: 24
State: NM

Vax Date: 04/12/2021
Onset Date: 04/12/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: after approximately 10 minutes of receiving Covid-19 vaccine, the patient fell out of chair in which he was seate. patient was unconscious for approximately 1 minute while I rolled him over and checked for pulse. his eyes were wide open and he seemed to have had an absensence seizure lasting upto a minute before regaining consciousness. he was quickly cognizant and I asked if he had any history of seizures or if he might be hypoglycemic. He did say that he had not eaten and it was 3:00pm. paramedics soon arrived and removed the patient from the scene. I did text patient the next day and he said only that he had a sore arm and symptoms consistent with having a vaccine administered.

Other Meds:

Current Illness: n/a

ID: 1223754
Sex: F
Age: 40
State: PA

Vax Date: 04/10/2021
Onset Date: 04/11/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies: Amoxiccikian

Symptom List:

Symptoms: Leg cramp at 545 am progressed to traveling muscle aches. By 11 am it felt like my hands and feet had developed arthritis. By 6 pm my muscles felt like stone and my joints hurt horribly and I was exhausted. Reached out to my doctor on Monday, switched to ibuprofen and rested. Finally started feeling less pain Tuesday am and by Wednesday am all muscle and joint pain was gone. Lethargy and fatigue still ongoing.

Other Meds: Tylenol after the shot was teceived

Current Illness: None

ID: 1223755
Sex: F
Age: 40
State: MA

Vax Date: 03/01/2021
Onset Date: 03/27/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies: Augmentin Penicillin

Symptom List:

Symptoms: Stomachache

Other Meds: Saxenda

Current Illness: During the second dose of the vaccine that I got on April 15th I had a stomachache.

ID: 1223756
Sex: F
Age: 34
State: CA

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies: Shellfish, seasonal allergies.

Symptom List:

Symptoms: As I was driving home my tongue started to feel tingling, my upper lip area felt like it was swelling but I was going numb, the roof of my mouth starting numbing as well, and when I tried to swallow my saliva there was a bit of difficulty. The reaction did not worsen. From a 1 to 10, ten being bad, the reaction was a 3. I had no difficulties breathing. The numbness went away after about 30 minutes. The following day: chills, light fever 100.2F, stomach pain, loose stool, and fatigue.

Other Meds: None prior to the vaccine.

Current Illness: None.

ID: 1223757
Sex: F
Age: 72
State: CA

Vax Date: 04/08/2021
Onset Date: 04/13/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Left leg pain

Other Meds:

Current Illness:

ID: 1223758
Sex: F
Age:
State: OK

Vax Date: 04/15/2021
Onset Date:
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies: Soma

Symptom List:

Symptoms: Lymph node under left arm sore, headache, nausea, temp of 100.2, body aches and chills for approximately 20 to 24 hours. Left Lymph node still very tennder

Other Meds: Benicar HCT Calcium tablet Prilosec. Aleve Flonase. Tylenol pm Vitamin Zyrtec

Current Illness: None

ID: 1223759
Sex: F
Age: 41
State: MA

Vax Date: 04/11/2021
Onset Date: 04/13/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: rash on inner left wrist sleep induced apraxia of eyelid opening

Other Meds: Spironolactone

Current Illness:

ID: 1223760
Sex: F
Age: 55
State: ME

Vax Date: 04/05/2021
Onset Date: 04/06/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies: levaquin, codiene aspirin.

Symptom List:

Symptoms: heavy bruising, headache,. sleepiness after 5 days with injection site swollen and itchy with headache again.

Other Meds: none

Current Illness: NONE

ID: 1223761
Sex: F
Age: 49
State: FL

Vax Date: 04/16/2021
Onset Date: 04/17/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies: erythromycin

Symptom List:

Symptoms: Egg-sized lump next to injection site. Quarter-size purple bruise, surrounded by egg-size red rash.

Other Meds: metoprolol, oxybutynin, meloxicam, trazadone, benadryl

Current Illness:

ID: 1223762
Sex: F
Age: 32
State: GA

Vax Date: 04/14/2021
Onset Date: 04/14/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies: Doxycycline

Symptom List:

Symptoms: 14th: low grade fever and fatigue took tylenol and went to sleep around 7:30pm 15th: woke with a fever around 101, took tylenol, drank biolyte and water by 1pm I had a fever of 103.8 took a lukewarm shower, tylenol fever dropped to 102 and fell asleep 16th: woke at midnight my fever at 103 again, husband helped put me in the shower, took more tylenol and then played in bed with a cool rag on head, woke around 7am with a fever of 102, started drinking water mixed with pedialyt, switched to Naproxen by 9pm fever had gone down to 100.4 17th: fever 100.0 at 8am took naproxen fever reduced to 99.1. A rash developed on left arm covering the whole of my bicep. Warm to the touch and extra tender, feels similar to fire ant bites, not fun applied benadryl cream, calmed burning sensation but rash still persist, temperature currently at 100.0 at 7:50pm

Other Meds: Zyrtec, vitamin d

Current Illness: None

ID: 1223763
Sex: F
Age: 68
State: MI

Vax Date: 02/02/2021
Onset Date: 02/16/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: As described above. On Eliquis still and asymptomatic

Other Meds: lisinopril 40 mg, atorvastatin 10 mg, alendronate 70 mg weekly, hydrocodone/acetaminophen 5/325 prn, Acetaminophen prn, Ibuprofen 200 mg prn

Current Illness: Skiing accident 1/10/21 with pelvic Fx so walker use for one month. Left calf cramp while driving 2/16/21 so massaged. Onset that PM of pleuritic left chest and supraclavicular pain with persistence and fatigue and rare hemoptysis for 2 weeks. No evaluation until routine F/U 3/17/21 with normal D-dimer of 299 and platelet ct of 194K , negative LE venous doppler but positive CTA chest for acute and subacute segmental and subsegmental clots.

ID: 1223764
Sex: F
Age: 69
State: LA

Vax Date: 04/01/2021
Onset Date: 04/01/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies: Mango

Symptom List:

Symptoms: Within 30 minutes: extreme vertigo. Within 1 hr low fever, extremely painful arm, Slept on sofa for 6 days. Extreme Fatigue continues "Brain Fog" continues Constant raging Tinnitus in rt ear

Other Meds: Tramadol D3 Fiber Biotin

Current Illness: None.

ID: 1223765
Sex: F
Age: 58
State:

Vax Date: 04/17/2021
Onset Date: 04/17/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Dizziness and shortness of breath approximately 15 minutes after the vaccine was administered. Attendee monitored, EMS was called and she was evaluated. Refused transport. O2 Saturation 98-99% via EMS on Room air. 3 sets of vital signs taken prior to EMS arriving, that were within normal limits. respiratory rate was 18 for the duration of the extended monitoring.

Other Meds:

Current Illness:

ID: 1223766
Sex: F
Age: 59
State: WA

Vax Date: 04/05/2021
Onset Date: 04/14/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies: n/a

Symptom List:

Symptoms: redness and rash at injection site with itching, approx 3" diameter area

Other Meds: gabapentin, citalopram, acyclovir, welbutrin, rostavastin, trazodone

Current Illness: no

ID: 1223767
Sex: M
Age: 28
State: PA

Vax Date: 04/15/2021
Onset Date: 04/15/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Low grade fever, chills, nausea, coughing, fatigue, full body soreness

Other Meds:

Current Illness:

ID: 1223768
Sex: M
Age: 17
State: TX

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: First dose given 3/10/21 and vaers sent in at that time. I was told to contact patient and that the second dose was to be given to complete the series. There were no adverse reactions, sore arm first dose. I do not know if I have to send this in again since it is the second dose, but I am Thank you No adverse reactions, they requested the vaccine,

Other Meds: none

Current Illness: none

ID: 1223769
Sex: F
Age: 60
State: OK

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies: codeine

Symptom List:

Symptoms: 1) headache for 1 week 2) bump and redness at injection site starting a week post injection

Other Meds: unknown

Current Illness: unknown

ID: 1223770
Sex: F
Age: 51
State:

Vax Date: 04/07/2021
Onset Date: 04/15/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies: Sulfa. Alive and Bee Stings

Symptom List:

Symptoms: Injection site hot to the touch, sore, itchy, redness

Other Meds: Vitamin D, C, Zinc, multi vitamins

Current Illness:

ID: 1223771
Sex: M
Age: 23
State: KS

Vax Date: 04/14/2021
Onset Date: 04/16/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies: Sulfameth, Cephalexin

Symptom List:

Symptoms: Minor cough and minor shortness of breath. No change in symptoms after using previously prescribed albuterol rescue inhaler.

Other Meds:

Current Illness:

ID: 1223772
Sex: F
Age: 38
State: IN

Vax Date: 04/15/2021
Onset Date: 04/15/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Fever of 102, severe headache, chills, body aches

Other Meds:

Current Illness:

ID: 1223773
Sex: F
Age: 29
State: FL

Vax Date: 04/08/2021
Onset Date: 04/09/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Large red welt (larger in diameter than golf ball) appeared on left arm at injection site the day after first dose of moderna shot. Area is red, raised, itchy, and hot 9 days later.

Other Meds: Zoloft

Current Illness: None

ID: 1223774
Sex: M
Age: 60
State: PA

Vax Date: 04/10/2021
Onset Date: 04/17/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List:

Symptoms: Urticaria -macular papular rash on extremities (arms and legs), sides, back, face, very itchy. The rash started at 5pm on 4/17/2021, one week after receiving the vaccine. Urticaria got progressively worse. was given 50mg of Benadryl PO at 6:45pm. At 7:45pm the urticaria is gradually subsiding but is still present. I also contacted Janssen and spoke with a Pharmacist. I also reported this to Premier to the on call physician which is his PCP group. The on-call physician suggested I also administer Pepcid which I gave him 20mg. did have a sore arm several days after the injection. He is not having chills or an elevated temperature.

Other Meds: Rosuvastatin 10 mg, Citalopram 20mg Biotin, Centrum Silver, Caltrate, CoQ10, Vit D, ASA, Melatonin

Current Illness: None. HX of kidney stones

ID: 1223775
Sex: F
Age: 89
State: NH

Vax Date: 02/12/2021
Onset Date: 02/24/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies: Codeine, Seconal, Zestoretic, Morphine and Related, Alcohols

Symptom List:

Symptoms: low b/p coupled dizziness; Hx of Cerebral infarct; numbness to limbs Age 89 Note: Resident came back from the emergency department at medical center at 1:45.The resident is alert and oriented. The resident has been diagnosed, with deconditions, paresthesia, and gait instability. CT of the head was reassuring. No significant labs or EKG abnormalities noted. No new medications order received.

Other Meds:

Current Illness:

ID: 1223776
Sex: M
Age: 47
State: MO

Vax Date: 02/18/2021
Onset Date: 02/18/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies: None listed

Symptom List:

Symptoms: Pink Lesion with scab in the middle; patient states saw dr about issue and they stated no infection-should resolve on its own. Patient states pink lesion and scab (about the size of a pencil eraser) still remain even after second vaccination in same arm different location on the arm though; thus was recommended to see a dermatologist for further evaluation.

Other Meds: Unknown

Current Illness: Unknown

ID: 1223777
Sex: F
Age: 34
State: CA

Vax Date: 04/13/2021
Onset Date: 04/17/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies: Sulfa drugs, antihistamine drugs, salicylates, fava beans, nightshades

Symptom List:

Symptoms: I was having some minor tingling and ticklishness in hands for a few days post vaccine but today suddenly it was more intense tingling in hands and inner upper and lower arms that turned to also pins and needles, burning, muscle seizing feelings in those areas and also moving to other parts of arms and fingers. It's kind of hard to type. My reflexes are fine, but I'm worried because I did have GBS after the meningitis vaccine when I was 18, and swore I'd never get another vaccine--but I really thought/still think I'll be fine! My feet and legs feel fine. Everything else feels fine. Right now as I type the tops of my arms have dry burning sensations. No one I've talked so seems to think this response is common..... I'm not sure if I should go to urgent care or an ER to get any testing done? Wouldn't they just say to watch it?

Other Meds: Valtrex - 1 g; Chinese herbal mix

Current Illness:

ID: 1223778
Sex: M
Age: 44
State:

Vax Date: 04/17/2021
Onset Date: 04/17/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Gave 20 days from last dose, instead of 21 days.

Other Meds:

Current Illness:

ID: 1223779
Sex: F
Age: 64
State: IN

Vax Date: 04/14/2021
Onset Date: 04/15/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies: Fentynal

Symptom List:

Symptoms: Extreme swelling, Redness at injection site, Chills, Fever at injection site, Loss of use of left arm, Nauseated, Extreme soreness at injection site.

Other Meds: Lantus, Humalog, Actos, Zocore, Trajenta, Prilosec, Neurotin, Tramadol

Current Illness: None

ID: 1223780
Sex: F
Age: 25
State: NV

Vax Date: 04/17/2021
Onset Date: 04/17/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: Patient was experiencing tongue swelling and difficulty swallowing approximately 5-7 minutes after receiving second dose of Moderna Covid-19 vaccine. Patient was given some sips of water, an ice pack, and an Epi-pen 0.3mg injection in Left, outer thigh. Ambulance was called and patient was taken to the local hospital. Patient was conscious the whole time.

Other Meds: Unknown, new patient to pharmacy only had covid vaccine

Current Illness: unknown

ID: 1223781
Sex: F
Age: 60
State: TX

Vax Date: 04/17/2021
Onset Date: 04/17/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies: none listed

Symptom List:

Symptoms: pt received vaccine. waited at pharmacy for 15 min. then went shopping. she returned to pharmacy with complaint of shortness of breath about 25 min after receiving vaccine. i sat her down and as i was talking to her about how she was feeling and she began to have convulsions. i laid her on ground and made sure she had an airway and pulse . pt was unresponsive for approx. 5 min. she regained consciousness and ems took over and took her to er

Other Meds: bacrim

Current Illness: uti

ID: 1223782
Sex: F
Age: 48
State: PA

Vax Date: 04/16/2021
Onset Date: 04/16/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies: Nka

Symptom List:

Symptoms: Facial tingling left side cheek area started after leaving clinic. Has subsided some but is still there 28 hours later. I had this tingling 7 years ago and it went away but returned after the vaccination.

Other Meds: Levothyroxine 117mcg, Vitamin d3 5000iu, Vitamin C 500mg, woman's multivitamin

Current Illness: None

ID: 1223783
Sex: M
Age: 35
State: AZ

Vax Date: 04/09/2021
Onset Date: 04/16/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Left arm remains swollen 1 week after vaccine. It feels like a large gold ball is in the arm. Very sore to touch.

Other Meds: None

Current Illness: None

ID: 1223784
Sex: F
Age: 67
State: WA

Vax Date: 02/11/2021
Onset Date: 02/13/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies: Sulfa drugs Penicillin Steroids Household chemicals Flowers Perfumes

Symptom List:

Symptoms: Bilateral Shingles on face and scalp Continued nerve pain after shingle healed On anti virals for 8 weeks Burning on head face and eyes Nerve pain in right eye Steroid eye drops Pain management with Tylenol 3 with codeine Trips to eye doctor No relief in pain

Other Meds: Multivitamin B-12 injection Estrogen/progesterone compound Cysta Q

Current Illness: Interstitial cystitis Pernicious anemia Neuropathy Fibromyalgia

ID: 1223785
Sex: M
Age: 61
State: MI

Vax Date: 04/16/2021
Onset Date: 04/17/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies: Iodine, toporol

Symptom List:

Symptoms: Tingling/numbness in both arms and calf areas

Other Meds: Entresto, zyrtec, carvidlol, allopurinol, diabetic oral medication. +

Current Illness: Na

ID: 1223786
Sex: M
Age: 20
State: IA

Vax Date: 03/16/2021
Onset Date: 04/14/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: My 20-year-old son received his first Moderna shot on March 16, 2021, at his college health clinic with no obvious side effects. He received the second Moderna shot at the same location on April 13, 2021. On the morning of April 14, 2021, he began running a high fever with repetitive vomiting and stomach cramping. He did not immediately seek medical attention because he had been told of side effects of the vaccine. When it was no longer tolerable, he reported to the local ER where it was later discovered he had a 4 mm kidney stone, which he passed two days later. We were told that the kidney stone would likely have begun forming about 31 days earlier, which would approximately coincide with his first COVID injection. There is no family history on either side of any kidney stones in the family. While my son's lifestyle may introduce some risk factors for kidney stones, I felt it was reasonable to report it as potentially relating to the vaccine.

Other Meds: N/A

Current Illness: N/A

ID: 1223787
Sex: F
Age: 90
State: WA

Vax Date: 04/16/2021
Onset Date: 04/16/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies: None Reported

Symptom List:

Symptoms: Adverse Event This writer was informed of guest who received the Pfizer vaccine (Lot#ER8731) in her LD on 4/16/21 for her second dose. Guests first dose was Moderna vaccine (Lot#045A21A) at the Drive thru clinic on 3/18/21. Intervention\Treatment\Why it Happened Guest received the Pfizer vaccine for her second dose instead of the Moderna vaccine, which was administered as her first dose. Guest and her son were informed of this information while in the Post Vaccination Area. Guest denies any adverse side effects ?I am feeling fine. I would not know the difference - honey; I am 90-years-old.? Guest was provided 15 more minutes of observation time. Guest reports no adverse side effects and this writer informed her that I would call and check on her Saturday 4/17/2021. Guest provided this writer with her telephone for a follow-up call. Guest son asked if she should receive the second dose of Moderna because of this event. This writer informed both, that this situation is not ideal. We should have administered the same vaccine for first and second doses the CDC does consider patient to be fully vaccinated, no second dose of Moderna is required at this time. Outcomes This writer conducted ?Just in Time Training? to the vaccinator and requested that the Point of Contact (POC?s) conduct this training with each vaccinator and Clinical Screeners. Guest with no adverse side effects noted or reported. Called patient today at 11:23 am. ?I am doing just fine and thank you for calling.? Requested that guest follow-up with her primary care provider if she experiences any adverse side effects. Provided guest with contact information if she had any questions. At this time 16:53 hours guest or her son has not called with any questions.

Other Meds: None Reported

Current Illness: None

ID: 1223788
Sex: F
Age: 60
State: WA

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies: Celiac disease

Symptom List:

Symptoms: Chills, diarrhea, lung pain, stabbing pain, headache, weakness and very tired for several days.

Other Meds: Synthroid and Diclofenac

Current Illness:

Date Died: 03/18/2021

ID: 1223789
Sex: F
Age: 61
State: MA

Vax Date: 03/05/2021
Onset Date: 03/06/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: My sister, received the J & J vaccine on March 5th. I now know that she was not feeling well for a few days afterwards. She then felt better until day nine after the vaccine. On the evening of the ninth day, she began having abdominal pain, vomiting & diarrhea, headache. This was Sunday evening. Unfortunately I wasn?t aware of how she was feeling and she didn?t go to the emergency rm. until Tuesday morning. Tests determined her platelet level was low and abdominal CT showed bleeding from her adrenal glands. She was given platelets, pain meds and admitted into the hospital. Later that night staff felt she wasn?t responsive and a head CT was performed. It was determined she had a brain hemorrhage and emergency surgery was performed. It is my understanding that there was brain damage at that point. During the early morning hours of the 10th day, post surgery, a repeat CT scan was done showing more hemorrhaging and blood clots. She also developed a DVT and PE and was kept on a respirator until the 13th day post vaccine to allow family to say their goodbyes. On the morning of the 13th day patient was removed from life support and she passed.

Other Meds: Synthroid 100mg, Lisinopril 40mg, Glipizide 5mg, AmLODIPine 5mg, Basaglar 80 units, Rosuvistatin 40mg, Metformin 500mg

Current Illness:

ID: 1223790
Sex: F
Age: 27
State: MA

Vax Date: 04/17/2021
Onset Date: 04/17/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies: None known

Symptom List:

Symptoms: Arm soreness below injection site approximately one hour following injection Headache approximately 4.5 hours after injection. Took 2 Ibuprofen. Medicine has not had an impact yet Nausea approximately 8 hours after injection. Took Gavascon and that helped. Still feeling a little stomach discomfort

Other Meds: Sertraline HCl 50 mg daily

Current Illness: None

ID: 1223791
Sex: F
Age: 40
State: PA

Vax Date: 04/14/2021
Onset Date: 04/14/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: About 3 hours after the vaccine I had an elevated heart rate, that came down after couple of minutes of fresh air. The next day, at about 10 pm, my heart beat was going up and down during rest. The next morning I went to the hospital and was diagnosed with heart palpitations.

Other Meds: Euthyrox

Current Illness:

ID: 1223792
Sex: F
Age: 38
State: TX

Vax Date: 04/09/2021
Onset Date: 04/16/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies: Only powder form

Symptom List:

Symptoms: Chills, redness and pain in the left arm after a week of applying it.

Other Meds: Valaciclovyr

Current Illness: Herpes

ID: 1223793
Sex: M
Age: 30
State: FL

Vax Date: 04/05/2021
Onset Date: 04/06/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List:

Symptoms: Swollen lymph nodes under left arm pit. Symptoms started the next day and it has not gone away. It gets worse every time I work out.

Other Meds: No

Current Illness: No

ID: 1223794
Sex: F
Age: 53
State: MI

Vax Date: 04/06/2021
Onset Date: 04/07/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies: Tetracycline

Symptom List:

Symptoms: Throwing up, fever, shortness of breath, sore arm at injection site, rash on arm of injection, elevated heart rate, ringing ears, swollen and sore armpit, sore heart.

Other Meds: Bijuvia, Benadryl, Western Herbal Colon Care

Current Illness: Bruised ribs after tripping up the stairs over the dog.

ID: 1223795
Sex: F
Age: 62
State: NC

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies: Pseudefed, sulfa, cipro,advil,alive, Darvocet

Symptom List:

Symptoms: Dizziness, nausea, leg pain(left), migraines, diarrhea (ongoing),chills, unable to regulate body temperature(ongoing), severe fatigue (also ongoing), difficulty working, inappetince... Spoke with doctor. No help. No treatments.

Other Meds: ClonazePAM, vitamins

Current Illness:

ID: 1223796
Sex: M
Age: 71
State: NJ

Vax Date: 03/04/2021
Onset Date: 03/04/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies: Flu shot, Oct.2020, caused hives all over body

Symptom List:

Symptoms: Hands and feet swollen for three weeks. Joints and /or tendons painful, but left hand pinky finger still swollen and extremely painful, Can not use finger because it no longer can close- since Covid19 Vaccination shot.( no longer can I play my violin). Went to my primary care doctor, 3/24/2021, who referred me to Doctor of Acting Chief of Hand Surgery, Medical Center- He administered a steroid shot into my finger on 03/29/2021. No improvement- MRI scheduled on 04/20/2021.

Other Meds: Esomeprazole Magnesium, Lisinopril, Warfarin, Nifedipine, Rosuvastatin, Famotidine, multi-vitamin, baby aspirin, vitamin c, Iron, Q10

Current Illness:

ID: 1223797
Sex: M
Age: 44
State: IL

Vax Date: 04/11/2021
Onset Date: 04/15/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Swollen and very painful lymph node on left armpit area & fever of 101?. After receiving the vaccine 4 days prior. Had to go to urgent care facility.

Other Meds: Over the counter multivitamins

Current Illness: Eye problems

ID: 1223798
Sex: F
Age: 31
State:

Vax Date: 04/09/2021
Onset Date: 04/17/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Had two days with a sore arm after the injection, then recovered. Then had swelling, soreness, and rash 8 days from the injection.

Other Meds: Birth control pills

Current Illness: None

ID: 1223799
Sex: M
Age: 71
State: VA

Vax Date: 03/01/2021
Onset Date: 04/15/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Sudden Swellng of upper lip. No pain. No orher symptoms

Other Meds:

Current Illness:

Date Died: 02/23/2021

ID: 1223800
Sex: F
Age: 89
State: PA

Vax Date: 01/30/2021
Onset Date: 02/15/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies: iodine, Penicillin, Latex

Symptom List:

Symptoms: resident unresponsive verbally and favoring L side with R side flaccid unable to take AM med. The writer obtained BS 90. The resident has R side face drop with drooling noted. The resident responded to painful stimuli only. Pupils dilated. Supervisor at bedside BS 102 rechecked. The family opted for comfort measures only. Age 68 On 2/15/2021 Z51.5: ENCOUNTER FOR PALLIATIVE CARE, Patient expired 2/23/2021

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 704,237

Page last modified: 03 October 2021 5:28pm