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
83,004
AK1,730
AL5,872
AR3,809
AS44
AZ14,078
CA62,310
CO11,705
CT8,431
DC1,701
DE1,800
FL39,679
FM3
GA14,652
GU90
HI2,356
IA4,598
ID2,624
IL20,710
IN23,256
KS4,579
KY7,810
LA5,112
MA14,823
MD12,688
ME3,179
MH8
MI19,350
MN12,203
MO9,646
MP30
MS2,926
MT2,290
NC16,636
ND1,376
NE2,935
NH3,037
NJ18,750
NM3,953
NV4,426
NY35,105
OH19,385
OK6,285
OR8,561
PA24,131
PR2,307
QM2
RI2,020
SC6,632
SD1,193
TN9,511
TX37,022
UT4,307
VA14,912
VI53
VT1,748
WA14,848
WI11,116
WV2,355
WY866
XB5
XL1
XV2

ID: 1230871
Sex: M
Age: 33
State: WA

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

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

Lab Data:

Allergies: Moxicilin

Symptom List:

Symptoms: Near syncope. Flushed skin.

Other Meds: Peniciylin

Current Illness: None

ID: 1230872
Sex: F
Age: 63
State: TX

Vax Date: 04/15/2021
Onset Date: 04/15/2021
Rec V Date: 04/19/2021
Hospital:

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

Lab Data:

Allergies: CODEINE

Symptom List:

Symptoms: Patient developed muscle weakness, dizziness, wheezing/shortness of breath, rapid heart beat several hours after immunization. Patient has been resting.

Other Meds: UNKNOWN

Current Illness: NONE

ID: 1230873
Sex: F
Age: 55
State: ME

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/19/2021
Hospital:

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

Lab Data:

Allergies: penicillin.

Symptom List:

Symptoms: I had an unique reaction to the Johnson&Johnson vaccine. 7 hours after getting the shot, my whole body went into painful spasms. My arms, legs, and torso were all twisting out of control. I was afraid I was going to fall out of my power chair, so I tilted it to prevent that from happening. Transfers were extremely difficult. My husband had to help me on and off of the toilet. This went on for about 3-4 hours. After 2 hours, I took some Tylenol to take the edge off of the spasms.

Other Meds: Prozac, Abilify, Valium, magnesium, calcium, zinc, Vit's B, C, and D.

Current Illness: Secondary Progressive Multiple Sclerosis.

ID: 1230874
Sex: F
Age: 47
State: NJ

Vax Date: 04/12/2021
Onset Date: 04/14/2021
Rec V Date: 04/19/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: I have an ear ache, nasal sensitivity, eye pain, slight headache all on the left side of head, shot was in left arm.

Other Meds: Valacyclovir, Alprazolam, Vitamin D3, Multi vitamin, sertraline

Current Illness: none

ID: 1230875
Sex: F
Age: 38
State: CA

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

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

Lab Data:

Allergies: no

Symptom List:

Symptoms: Second shot - headache, body ache and chills for 36 hours. I used Ibuprofen and rest.

Other Meds: Birth control pills; Probiotics - pills

Current Illness: no

ID: 1230876
Sex: U
Age:
State: SC

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: RINGING IN THE EARS/TINNITUS BILATERALLY; This spontaneous report received from a patient concerned a 49 year old of unspecified sex. 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: 1808980, and expiry: UNKNOWN) dose was not reported, administered on 02-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On an unspecified date, the subject experienced ringing in the ears/tinnitus bilaterally. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of ringing in the ears/tinnitus bilaterally was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1230877
Sex: F
Age: 61
State: AZ

Vax Date: 03/16/2021
Onset Date: 04/06/2021
Rec V Date: 04/19/2021
Hospital:

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

Lab Data:

Allergies: nkda

Symptom List:

Symptoms: patient came to clinic c/o right lower leg swelling on 4/6/2021, on 4/13/2021 she underwent a doppler us and was dx with right common femoral vein thrombus. her platelets are normal

Other Meds: amLODIPine 10 mg oral tablet, 10 mg= 1 tab(s), PO, Daily, 1 refills aspirin 81 mg oral tablet, chewable, 81 mg= atorvastatin 80 mg oral tablet carvedilol 25 mg oral tablet, chlorthalidone 25 mg oral tablet, cloNIDine 0.3 mg oral tablet, d

Current Illness: none

ID: 1230878
Sex: F
Age: 24
State: NE

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Nausea and vomiting, fever, body chills and shaking, headache, malaise. All for about 24 hours.

Other Meds: Norethindrone

Current Illness: None

Date Died: 04/10/2021

ID: 1230879
Sex: M
Age: 68
State: CA

Vax Date: 03/01/2021
Onset Date: 03/01/2021
Rec V Date: 04/19/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Heavy lethargy followed by death.

Other Meds: None

Current Illness: None

ID: 1230880
Sex: M
Age: 28
State: FL

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient stated he had received first dose Covid Vaccine; he had actually received M. He did not have his CDC card.

Other Meds:

Current Illness:

ID: 1230881
Sex: F
Age: 55
State: NE

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

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

Lab Data:

Allergies: Allergic to codeine and bees and metal only

Symptom List:

Symptoms: 20 minutes after the shot driving home with my mom I started feeling funny couldn't describe it my mom said it was probably anxiety I got home remove the Band-Aid and there was a rash under the Band-Aid my arm was completely red and swollen and still swollen you can see a indent where it meets on the arm started itching everywhere my throat was acting up it was hard to swallow so I took a bunch of Benadryl for 3 days I was sick so I was told I can't get the second vaccine which is very frustrating but my doctor and the pharmacy said no CDC when I called said they can't say yes or no but they gave me the warnings is there anything else I can do to get that second shot I'm getting desperate I have no immune system

Other Meds: None

Current Illness: No

ID: 1230882
Sex: F
Age: 44
State: OH

Vax Date: 03/21/2021
Onset Date: 03/01/2021
Rec V Date: 04/19/2021
Hospital:

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

Lab Data:

Allergies: NONE REPORTED

Symptom List:

Symptoms: PATIENT STATED THAT APPROXIMATELY 8 DAYS AFTER RECEIVING HER DOSE HER ARM BECAME WARM AND HAD AN ITCHY RASH. IT LASTED ABOUT 4 DAYS

Other Meds: UNKNOWN

Current Illness: NONE REPORTED

ID: 1230883
Sex: F
Age: 51
State: CA

Vax Date: 11/22/2016
Onset Date: 11/24/2016
Rec V Date: 04/19/2021
Hospital:

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

Lab Data:

Allergies: Dairy, topical iodine

Symptom List:

Symptoms: Developed deep cough, day and night, sometimes coughing so hard it felt as if my ribs would crack. Lasted until the beginning of February 2017.

Other Meds: Synthroid

Current Illness: None

ID: 1230884
Sex: M
Age:
State: PA

Vax Date:
Onset Date: 04/11/2021
Rec V Date: 04/19/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: FLU LIKE SYMPTOMS; MINOR BODY ACHE; FATIGUE; DIARRHEA; This spontaneous report received from a patient concerned a 38 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, and expiry: UNKNOWN) dose was not reported, administered on 09-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 11-APR-2021, the subject experienced diarrhea. On 11-APR-2021, the subject experienced minor body ache. On 11-APR-2021, the subject experienced fatigue. On an unspecified date, the subject experienced flu like symptoms. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from diarrhea, and fatigue on 12-APR-2021, and the outcome of flu like symptoms and minor body ache was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1230885
Sex: M
Age: 26
State: CA

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Vasovagal syncope. Patient passed out, fell out of chair and hit head hard. When he was turned over he was shaking and then came to. He felt nauseous and vomited. Paramedics arrived and took him to hospital . Stated his temp and BP were fine but his heart rate was low

Other Meds:

Current Illness:

ID: 1230886
Sex: F
Age: 74
State: MD

Vax Date: 04/06/2021
Onset Date: 04/06/2021
Rec V Date: 04/19/2021
Hospital:

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

Lab Data:

Allergies: penicillins, alcohol, ciprofloxacin, darvon, iodine, opioids, sulfites

Symptom List:

Symptoms: Fever, severe headache, ringing in ears, profound fatigue, arm soreness. She reports symptoms for 1 week after receiving the second shot.

Other Meds: atenolol 50 mg vitamin d 2000 units

Current Illness:

ID: 1230887
Sex: M
Age: 41
State: GA

Vax Date: 04/02/2021
Onset Date: 04/02/2021
Rec V Date: 04/19/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: On April 2, 2021 around 8:00 p.m. I begin having chills, body aches, fever ,nausea, etc. This continued until Monday April 5, 2021, minus the chills. My urine became very dark brown for a few days, then changed to a light pink color.

Other Meds: N/A

Current Illness: N/A

ID: 1230888
Sex: F
Age: 53
State: AZ

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

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

Lab Data:

Allergies: Penicillin, Bee stings, I am not familiar with the side affects as I was a child and my mother passed prior to me getting any information . Injectable Iodine i started itching and had a rash they gave me 2 Benadryl and the symptoms went away .

Symptom List:

Symptoms: I received my vaccine at 8:31AM and stayed at the site until 9:01. As we were driving home about 9:20 i started coughing and feeling a tickling feeling in my throat. I coughed for about 1-2 minutes. on my way to CVS i developed some small rash bumps on my left forearm. I took two CVS brand (Benadryl) and it went away. I felt sleeping which i think was due to the Benadryl.

Other Meds: lisinopril 5MG, Vitamin D3 50 MCG (2000IU) Kirkland Brand, Zinc Picolinate 25 mg and Centrum Silver multi vitamin +50 these were taken on Sunday 04/18/2021 at 6:00PM

Current Illness: None

ID: 1230889
Sex: M
Age: 68
State: NJ

Vax Date: 02/23/2021
Onset Date: 02/24/2021
Rec V Date: 04/19/2021
Hospital: Y

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

Lab Data:

Allergies: nka

Symptom List:

Symptoms: Patient has chronic nerve pain somewhat stable until after second vaccination severe nerve pain getting worse by day was stable for 91/2 years only thing that has changed is never pain has increased significantly

Other Meds: ditropan neurontin cmybalta ms contin percoset vitamens c d and zinc miralex fentanyl patch colace senna

Current Illness: none

ID: 1230890
Sex: F
Age: 56
State: VA

Vax Date: 04/17/2021
Onset Date: 04/17/2021
Rec V Date: 04/19/2021
Hospital:

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

Lab Data:

Allergies: wellbutrin

Symptom List:

Symptoms: pain at injection site, headache, body aches--neck, back, legs, chills and shivering. Treatment with Tylenol

Other Meds: Lexapro, Levoxyl, metropelol, pravastatin, low-dose aspirin,

Current Illness: none

ID: 1230891
Sex: M
Age: 68
State: MO

Vax Date: 03/09/2021
Onset Date: 03/30/2021
Rec V Date: 04/19/2021
Hospital: Y

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

Lab Data:

Allergies: any "mab"drug, celebrex

Symptom List:

Symptoms: Stroke with the left brain coirtex...I have had speech problems since then.

Other Meds: thyroid pills, asmanex,albuterol, albuterol

Current Illness: just some thyroid issues with cancer chemotherapy, some minor BP issues

ID: 1230892
Sex: F
Age: 88
State: FL

Vax Date: 02/20/2021
Onset Date: 02/21/2021
Rec V Date: 04/19/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List:

Symptoms: Patient came in today (04/19/2021) so that she could let us know that she has been sick ever since she got her shot 2 months ago.

Other Meds: unknown

Current Illness: Unknown

ID: 1230894
Sex: M
Age: 32
State: NY

Vax Date: 04/01/2021
Onset Date: 04/01/2021
Rec V Date: 04/19/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: None

Other Meds:

Current Illness:

ID: 1230895
Sex: M
Age: 28
State: OR

Vax Date: 04/07/2021
Onset Date: 04/17/2021
Rec V Date: 04/19/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: The patient is a 28 y.o. male who presents to the Emergency Department with left sided body aches and 6/10 head pain that began approximately two weeks ago following the administration of the Johnson and Johnson COVID-19 vaccine. The patient is present with a chaperone at bedside who helps provide history and translates for the patient. Since the administration of the vaccine the patient states he's been experiencing these symptoms. The patient reports that he began experiencing his symptoms approximately 30 minutes following the vaccine administration and have worsened since onset. He reports that he took oral Tylenol yesterday with minimal relief. The patient states that movement and exertion exacerbate his symptoms and reports that he was not able to attend work today secondary to his pain. The patient denies any associated symptoms of fever, chills, nausea, vomiting, diarrhea, constipation, or any visual changes.

Other Meds:

Current Illness:

ID: 1230896
Sex: F
Age: 43
State: FL

Vax Date: 04/05/2021
Onset Date: 04/12/2021
Rec V Date: 04/19/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List:

Symptoms: On 4/12 I started seeing a rash on the right side of my back area which was showing like a cluster and extremely itchy and burning. The next day this was still there and I took photos to send to dr. I received two different opinions from both a dermatologist and an internist that I have shingles. I have always been perfectly healthy and have never had any issues in the past. I also have not received any vaccines aside from this one other than when I was a child, just to note. The doctor immediately prescribed me valacyclovir to take 3x a day and I have two more days to finish. The rash is still there and has spread a little bit more and continues to be incredibly itchy. I am scheduled for my next vaccination a week from today.

Other Meds: None

Current Illness: None

ID: 1230897
Sex: F
Age: 34
State: NY

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 04/19/2021
Hospital:

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

Lab Data:

Allergies: None reported on immunization concent from

Symptom List:

Symptoms: During the 15 minute observation period, the patient reported having an itchy throat, she got a glass of water from the facility but that did not resolve symptoms. Patient brought her symptom up to my attention, to which I asked for her to stay longer than the 15 minutes to observe if anything progressed, after she declining having an Epi-pen, per our company protocol. I have called the pateint three times to follow up with no response back. Unclear of what occured after the patient left against my recommendation.

Other Meds: Unknown

Current Illness: None reported on immunization consent form

ID: 1230898
Sex: F
Age: 27
State: AL

Vax Date: 04/15/2021
Onset Date: 04/15/2021
Rec V Date: 04/19/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Extreme muscular pain at injection site with inability to lift left arm or move it. No localized edema or erythema. No subcutaneous fluid collection or abscess formation. No constitutional symptoms.

Other Meds: Duloxetine 30mg

Current Illness: None

ID: 1230899
Sex: F
Age: 38
State: CA

Vax Date: 04/06/2021
Onset Date: 04/12/2021
Rec V Date: 04/19/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: No symptoms right after the shot. 6 days later spike in blood pressure to 170/110 went down but happened again 2 days later then happen again today 154/112 was today the 19th. I am 38 years old and have never had blood pressure issues

Other Meds: Amitriptyline Hyoscyamine

Current Illness: None

ID: 1230900
Sex: F
Age: 65
State: MA

Vax Date: 03/10/2021
Onset Date: 03/10/2021
Rec V Date: 04/19/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Within 6 hrs had chills, severe Headache, temp up to 102 , nausea, vomiting started in 20 hrs, unable to keep anything down had to go to urgent care via my primary care MD office. At 28hr post vaccine in urgent care received IV fluids 1 liter of NS, IV zofran and IV Toredrol, felt better in 2hrs and discharged home tolerating fluids, no further N & V

Other Meds: Norvasc 5mg daily Yagefem 10mcg twice week OTC daily senior vitamins Vit D 400units daily

Current Illness: None

ID: 1230901
Sex: F
Age: 20
State: CA

Vax Date: 04/17/2021
Onset Date: 04/17/2021
Rec V Date: 04/19/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Brief fainting episode. Flushing/sweating. Given water. BPs 97/59 (pulse 62), 108/61 (pulse 72). 100% O2 sat.

Other Meds:

Current Illness:

ID: 1230902
Sex: F
Age: 68
State: CO

Vax Date: 03/19/2021
Onset Date: 03/31/2021
Rec V Date: 04/19/2021
Hospital: Y

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: The patient developed shortness of breath with activity. The following day she spoke with me, her primary care provider, and I sent her to ER whereby she was found to have submassive pulmonary embolism.

Other Meds: Vitamin C, protonix, calcium and vitamin D, glucosamine/chondroitin, lysine, omega 3 fatty acids, multivitamin with iron

Current Illness: None

ID: 1230903
Sex: M
Age: 44
State: TX

Vax Date: 04/14/2021
Onset Date: 04/18/2021
Rec V Date: 04/19/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Patient complained of blisters/hives on the back 4 days later after vaccine.

Other Meds: unknown

Current Illness: unknown

ID: 1230904
Sex: M
Age:
State: AZ

Vax Date:
Onset Date: 03/25/2021
Rec V Date: 04/19/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: This spontaneous report received from a patient concerned a 58 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: 180502D, and expiry: UNKNOWN) dose was not reported, administered on 25-MAR-2021 for prophylactic vaccination. No concomitant medications were reported. On 25-MAR-2021, the subject experienced didn't feel good. On 25-MAR-2021, the subject experienced tired. On 13-APR-2021, the subject experienced dizzy. On 13-APR-2021, the subject experienced pinched nerve. On 13-APR-2021, the subject experienced felt like hot fluid was running down the inside of his right arm. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from dizzy, pinched nerve, felt like hot fluid was running down the inside of his right arm, and didn't feel good on APR-2021, and tired on 28-MAR-2021. This report was non-serious.

Other Meds:

Current Illness:

ID: 1230905
Sex: F
Age: 16
State: FL

Vax Date: 04/15/2021
Onset Date: 04/16/2021
Rec V Date: 04/19/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: No immediate response, approx 4 hours after dose started not feeling well passed out 3 times with 5 minute time frame, EMS called, became coherent while they were route, continue to improve and vitals were checked and advised to monitor. Currently experiencing dizziness when standing from a seated position consistently with no improvement, also fatigued as well. In touch with Primary Care Physician and am monitoring .

Other Meds: Woke not feeling well, passed out several times over 5 minute period, EMS called and checked vitals, she became coherent and had good vitals. Continued dizziness upon standing currently with no improvement at this time.

Current Illness: none

ID: 1230906
Sex: F
Age: 35
State:

Vax Date: 04/05/2021
Onset Date: 04/05/2021
Rec V Date: 04/19/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: Patient was 16 weeks pregnant. One week later, patient experienced severe fatigue. Then on day 8 after receiving the vaccine, patient developed chills, fever of 102 and body aches. A COVID test was negative, but patient continued to experience a fever between 100-102 for two days.

Other Meds: Bonjesta 20M tablets (morning sickness) - 2 caps/day ?PreNatal SAP - 3 caps/day, Am/Pm. ?Ther-biotics Powder: 1/4 tsp 2x/day, Am/Pm. [200bill cfu] ?Zinc Picolinate/Cu: 1 cap 2-3x/day, with or without food.

Current Illness: N/A

ID: 1230908
Sex: F
Age: 41
State: GA

Vax Date: 04/05/2021
Onset Date: 04/10/2021
Rec V Date: 04/19/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Pt received vaccine on 4/8 developed LLE calf pain/swelling (+) DVT.

Other Meds: Unknown

Current Illness: None

ID: 1230909
Sex: M
Age: 66
State: IA

Vax Date: 03/10/2021
Onset Date: 03/18/2021
Rec V Date: 04/19/2021
Hospital:

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

Lab Data:

Allergies: Seasonal and animal allergies. Suspected shellfish allergy.

Symptom List:

Symptoms: A few days after the normal second injection reactions of fever, chills, exhaustion, saw a rapid and extreme gastro disorder. Started with significant diarrhea for several weeks, and progressed to severe cramping and very odd lower abdominal pain, as well as generally mild nausea and lethargy. Family doctor ordered blood and stool analyses, which both came back negative. Doctor prescribed anti-diarrhea meds which worked within several days, and condition improved gradually until at this time am almost back to normal. Doc also recommended gastrointerologist(?) if conditions did not improve. Of course this entire sequence of events may have nothing to do at all with the vaccine, but it is unprecedented for me.

Other Meds: Fish oil capsule - 1/day. Sub lingual allergy drops daily.

Current Illness: Had expected post-vac reactions. This was not that.

ID: 1230910
Sex: F
Age: 48
State: NV

Vax Date: 03/25/2021
Onset Date: 04/01/2021
Rec V Date: 04/19/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: One week after receiving the first vaccine in my right arm, I developed pain, swelling, and redness around the injection site. All symptoms resolved within 3 days. I did not seek medical treatment for this. Prior to receiving the Econ?s vaccination, I discussed the previous symptoms with the staff. After a bit of back and forth discussion I was informed that it was still advisable to proceed with the second vaccination. Approximately one hour after receiving the second vaccination in the left arm, the arm began to swell and I developed a fever, chills, body and joint aches, headache, and loss of appetite. Within two days of receiving the injection, the arm was warm to the touch and had developed welts, redness, and tenderness. These symptoms have not resolved after 3 days.

Other Meds: M

Current Illness: None

ID: 1230911
Sex: F
Age: 63
State: IN

Vax Date: 04/05/2021
Onset Date: 04/05/2021
Rec V Date: 04/19/2021
Hospital:

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

Lab Data:

Allergies: penicillin

Symptom List:

Symptoms: low grade fever (99.1) body aches restless legs syndrome

Other Meds: Claritan

Current Illness: none

ID: 1230913
Sex: F
Age: 51
State: WA

Vax Date: 04/09/2021
Onset Date: 04/12/2021
Rec V Date: 04/19/2021
Hospital:

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

Lab Data:

Allergies: Gluten allergy (celiac disease); recently discovered mild allergy to ibuprofen (common for those with history of nasal polyps and allergies).

Symptom List:

Symptoms: A rash appeared on both of my forearms about 2-3 days after the vaccine dose. They were red, small bumps and not particularly itchy. I suspect the rash was from the Moderna vaccine but can't say for sure. I used hydrocortisone ointment for a couple of days and that seemed to help. Within a week the rash had gone away.

Other Meds: zyrtec antihistamine taken for seasonal allergies, vitamin D, iron supplement, and multivitamin taken. Nasocort nasal spray taken for seasonal allergies

Current Illness:

ID: 1230914
Sex: F
Age: 75
State:

Vax Date: 03/18/2021
Onset Date: 03/19/2021
Rec V Date: 04/19/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient received COVID vaccine covid vaccine. A couple days later she started to experience tingling and numbness in her left arm. This is the arm she received the shot in. She has also had a loss of feeling in that arm. She received her shot on 3/18/21. as of 4/19 the symptoms have not changed.

Other Meds:

Current Illness:

ID: 1230916
Sex: F
Age: 33
State: OR

Vax Date: 02/12/2021
Onset Date: 03/29/2021
Rec V Date: 04/19/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Prior to my current miscarriage I had 3 pregnancy?s, 3 vaginal births (all pregnancy?s made it to term with healthy babies). My estimated due date for current pregnancy was 11/1/2021. I had an ultrasound at 8 weeks 0 days which was 3 weeks after my 2nd vaccine. The ultrasound showed a healthy heartbeat. 2.5 weeks later I had a second ultrasound that showed no heartbeat or movement. The baby measured at 8 weeks 4 days during the 10 week ultrasound. I have not delivered the miscarriage yet.

Other Meds: Prenatal vitamin, magnesium, fiber supplement, vitamin D, ashwaganda, Vitex

Current Illness: I conceived 1 week prior to my second vaccination. At time of vaccination the embryo was implanting in my uterus.

ID: 1230917
Sex: F
Age: 38
State: TN

Vax Date: 04/17/2021
Onset Date: 04/17/2021
Rec V Date: 04/19/2021
Hospital:

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

Lab Data:

Allergies: Lamictal

Symptom List:

Symptoms: Fever. Chills. Intense pains throughout body, including hip and a place in left hand where I have a pin from a precious ligament tear. Abdominal cramps. Night sweats. Brain fog. Debilitating fatigue. Shallow breathing and chest tightness.

Other Meds: Flo vitamins.

Current Illness: Shingles from dose 1 of vaccine.

ID: 1230918
Sex: F
Age: 32
State:

Vax Date: 04/03/2021
Onset Date: 04/06/2021
Rec V Date: 04/19/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Egg allergy. Every time I eat eggs now I become extremely nauseous.

Other Meds: None

Current Illness: None

ID: 1230919
Sex: F
Age: 26
State: CA

Vax Date: 04/18/2021
Onset Date: 04/18/2021
Rec V Date: 04/19/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Syncope/vasovagal, dizziness. Vitals wnl.

Other Meds:

Current Illness:

ID: 1230920
Sex: U
Age: 16
State: MD

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

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

Lab Data:

Allergies: none reported

Symptom List:

Symptoms: pt reported no previous hx of Guillian-Barre synd (GBS). , he was very anxious and tense when receiving the vaccine, after the shot he reported a tingling sensation in his legs, I discussed with the pt that this tingling sensation was most likely his body relaxing after tye shot, however in rare situations tingling is the 1st presenting sx of GBS and I recommended he be evaluated by a medical provider

Other Meds: unknown

Current Illness:

ID: 1230921
Sex: F
Age: 57
State: TX

Vax Date: 04/16/2021
Onset Date: 04/17/2021
Rec V Date: 04/19/2021
Hospital:

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

Lab Data:

Allergies: cephalosporins

Symptom List:

Symptoms: Patient's spouse stated that she was vomiting the next day and felt extremely tired. It was difficult for her to get out of bed.

Other Meds: unknown

Current Illness: unknown

ID: 1230922
Sex: F
Age: 69
State: DC

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: rash on left breast, spot rashes on ankle leg hand wrist on right side

Other Meds: prevastatin, olmesartan medox

Current Illness:

ID: 1230923
Sex: M
Age: 57
State: AL

Vax Date: 04/01/2021
Onset Date: 04/01/2021
Rec V Date: 04/19/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: Immediately upon being vaccinated, the patient felt weak, tachycardic, and had chills and nausea. He was observed for 20 minutes, at which time his symptoms abated and he left the vaccination facility. However, his symptoms returned later in the day. He presented to our office 15 days after vaccination. At that point, he was suffering coldness in his extremities with peripheral cyanosis of hands, feet, and nose. He reported chest pain and had an abnormal EKG with ST depressions in several leads. He stated that over the past two weeks, his symptoms would come and go, lasting for hours at a time and constituting weakness, extreme fatigue, cold extremities, and body aches.

Other Meds: None

Current Illness: None

ID: 1230924
Sex: F
Age: 57
State: WA

Vax Date: 04/11/2021
Onset Date: 04/11/2021
Rec V Date: 04/19/2021
Hospital:

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

Lab Data:

Allergies: Eggs & Soy

Symptom List:

Symptoms: First 15 minutes no reaction and I left. About 15 minutes later tongue began to experience pain. Left side, tongue had approximately 3 cysts trying to come out. Left side of tongue became swollen. Was in pain for about an few hours. Could feel the lumps but hard to spot. Saw one once I was at home and I could inspect. Mouth was sore that evening but pain was finally gone.

Other Meds: AmLODIPine Besylate, Triamterene-GCTZm, Clobetasol Propionate

Current Illness: none

Total 2021 VAERS Injuries: 650,727

Page last modified: 03 October 2021 5:28pm