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: 1271302
Sex: F
Age: 43
State: ME

Vax Date: 04/24/2021
Onset Date: 04/24/2021
Rec V Date: 04/29/2021
Hospital:

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

Lab Data:

Allergies: Amoxicillin, Salmon, Kiwi Fruit

Symptom List: Dysphagia, Epiglottitis

Symptoms: Moderna COVID-19 Vaccine EUA I had COVID at the end of March. My quarantine and symptoms ended 4/9/2021. Per CDC guidelines, you are able to receive your first COVID vaccine 2 weeks after. I received mine on 4/24/2021. It was the sickest I ever remember being, sicker than when I had COVID. I had a fever above 100 degrees for 36 hours. My fever spiked to 102.6 and 102.7 degrees several times during that period. My body hurt so bad that you couldn't touch my skin. I could barely move for 18 hours during this period. I could only move my hands and mouth because my body hurt so bad. I could even reach for water on my own. My fever and body aches did not go away until late Monday afternoon around 5 PM. I am a very strong, active and fit 43 year old woman who exercises daily. I have never felt this poorly.

Other Meds: Vitamin D

Current Illness: COVID on 3/31/2021

ID: 1271303
Sex: M
Age: 72
State: MI

Vax Date: 03/27/2021
Onset Date: 03/21/2021
Rec V Date: 04/29/2021
Hospital:

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

Lab Data:

Allergies: alcohol, codeine

Symptom List: Anxiety, Dyspnoea

Symptoms: 2nd dose of moderna covid-19 dose given too early. was administered at only 21 days after 1st moderna vaccination.

Other Meds: alcohol, codeine

Current Illness: unknown

ID: 1271304
Sex: F
Age: 29
State:

Vax Date: 04/20/2021
Onset Date: 04/28/2021
Rec V Date: 04/29/2021
Hospital:

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

Lab Data:

Allergies: sulfa, NSAID, macrobid

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

Symptoms: right deltoid twitching, intermittent, starting on 4/28, persisting to 4/29, not yet resolved. NO associated weakness, numbness, pain.

Other Meds: deplin, desvenlafaxine, trazodone, NAC

Current Illness:

Date Died: 03/29/2021

ID: 1271305
Sex: M
Age: 77
State: MN

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

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

Lab Data:

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Death within 60 days of vaccine

Other Meds:

Current Illness:

ID: 1271306
Sex: M
Age: 50
State: FL

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

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

Lab Data:

Allergies: Tetracycline, Gabapentin, Modafinil

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

Symptoms: First dose on 3/5/2021 received with minor issues of slight pain in injection site later, but also some tingling in injection site. SECOND DOSE on 4/2/2021 was a different story. About 15 hours later at 3:00 am I woke up with 100.5 fever, SEVERE pain at injection site (like someone had punched me in the arm and bruised my arm), and SEVERE level 9 (out of 10) pain in all joints in my hand and two big toes. Fibromyalgia muscular pain SEVERE level 9. Headache, SEVERE fatigue - could not get out of bed very well. SEVERE brain fog - I could barely think logically. I tried taking 50mg full spectrum CBD oil to avoid taking an NSAID (I was concerned it would affect proper immune response). At 6:29 am the fever was lower, but I could no longer take the pain, so I took 400mg Ibuprofen (Advil). 4-6 hours later took another 400mg Ibuprofen (Advil) and stayed in bed and slept several times that day. For the next two days the severe brain fog and severe fatigue remained. I continued to take 400mg Advil as needed. The brain fog was so severe that if I picked up my keys (or any other object), I would immediately ?lose? them and not know where they were because I had placed them somewhere else and could not remember anything. I stayed home for at least 72 hours due to the fatigue and the fear of driving and possibly getting in an accident. It seems the high severity of the issues lasted 72 hours, but all of the above reported issues continued for several weeks at a lower severity - with fatigue being the worst - requiring one or two naps per day. As of today, April 29, there is still slight pain in all hand joints and some fatigue, but there seems to be gum issues (hurting) since about April 26th. I am brushing my teeth lightly, using ?Smart Mouth? zinc oral rinse, and sucking/chewing on a whole clove every once in a while for pain relief and for the anti-biotic properties. I did not contact my physician because I read online that people with Fibromyalgia have worse side effects and I figured the effects would subside over time. I have an upcoming appointment with my doctor on May 26, 2021 at which time I will report these side effects and my strong concern about any future booster shots and the severe side effects I may encounter.

Other Meds: Tivicay, Descovy, Low Dose Naltrexone 5mg (for fibromyalgia pain)

Current Illness: none

ID: 1271307
Sex: M
Age: 34
State: IN

Vax Date: 04/27/2021
Onset Date: 04/27/2021
Rec V Date: 04/29/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Weak muscle spasms diarheah fever body aches

Other Meds: Baslagar 40 units Lisinopril 20 units Atorvistatin 15 Ozempic .5 Prilosec 20mg Gabapentin 600mg Jardiemce 20

Current Illness: None

ID: 1271308
Sex: F
Age: 68
State: MD

Vax Date: 03/06/2021
Onset Date: 03/08/2021
Rec V Date: 04/29/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: 03/06/2021 - 1st Moderna vaccination caused drowsiness for 2 days, then a gastrointestinal diverticular flare up 2 days later ... symptoms included stomach pain, bloating, acid buildup possibly caused by ingredient in the vaccine, Polyethylene glycol which I have had adverse reaction to in the past. 04/09/2021 - 2nd Moderna vaccination caused drowsiness for 3 days, then tireness and vision problems, which include sensitivity light, floaters, and blurred vision.

Other Meds:

Current Illness:

ID: 1271309
Sex: F
Age: 47
State: FL

Vax Date: 04/05/2021
Onset Date: 04/05/2021
Rec V Date: 04/29/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pharyngeal swelling

Symptoms: Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)

Other Meds:

Current Illness:

ID: 1271310
Sex: M
Age: 63
State: IN

Vax Date: 04/27/2021
Onset Date: 04/27/2021
Rec V Date: 04/29/2021
Hospital:

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

Lab Data:

Allergies: Sudafed, certain metals, lasix

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: 1st, after about 2 hours: sore shoulder 2nd, after about 5 hours: whole arm, chest, back and side pain. 3rd, next morning: all of the above, plus dizziness and nauseated, but no vomiting. Fever peaked at 101.4. This lasted all day. 4th, next morning: Fever, dizziness and nausea gone. Pain reduced. Sore arm remains.

Other Meds: Montelukast SOD, 10MG Metoprolol Tartrate, 25MG Metformin, 1000MG Bupropion HCL SR, 150MG Levothyroxine, .05MG Atorvastatin, 40MG Benicar, 40MG Hydrochlorothiazide, 12.5MG Zenpep DR Fluticisone, as needed Albuteral, as needed Aspirin Centru

Current Illness: Acute Pancreatitis

ID: 1271311
Sex: M
Age: 31
State: WI

Vax Date: 04/23/2021
Onset Date: 04/23/2021
Rec V Date: 04/29/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Patient received Pfizer dose 2 after having received Moderna dose 1. This was an error by the clinic.

Other Meds:

Current Illness:

ID: 1271312
Sex: F
Age: 30
State: FL

Vax Date: 04/27/2021
Onset Date: 04/27/2021
Rec V Date: 04/29/2021
Hospital:

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

Lab Data:

Allergies: n/a

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

Symptoms: Dizziness, Awaiting her husband to join her.146/102, Retake 140/90, BS 108, HR 86, 97% 1:25pm Husband on scene to transport home. Stated she feels "somewhat better". No distress noted.

Other Meds: n/a

Current Illness: n/a

ID: 1271313
Sex: F
Age: 22
State: CA

Vax Date: 04/28/2021
Onset Date: 04/28/2021
Rec V Date: 04/29/2021
Hospital: Y

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

Lab Data:

Allergies: food flavorings-unknown, cigarette smoke, marijuana, several medications that she can't remember.

Symptom List: Rash, Urticaria

Symptoms: shortness of breath, chest tightness, itching to throat and tongue, tightness, swelling in throat. Given epinephrine and benadryl at physician office with relief for about 8 hours. The symptoms returned and came to ER. Was given epinephrine, Benadryl, and steroid. Given history of anaphylactic shock in past patient admitted for observation.

Other Meds: None

Current Illness: none known

ID: 1271315
Sex: U
Age: 71
State: MI

Vax Date: 03/27/2021
Onset Date: 03/27/2021
Rec V Date: 04/29/2021
Hospital:

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

Lab Data:

Allergies: NKA

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

Symptoms: 2nd dose of moderna covid-19 dose given too early. was administered at only 21 days after 1st moderna vaccination.

Other Meds: NKA

Current Illness: unknown

ID: 1271316
Sex: F
Age: 23
State: CT

Vax Date: 04/29/2021
Onset Date: 04/29/2021
Rec V Date: 04/29/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Systemic: Dizziness / Lightheadness-Medium, Additional Details: Patient felt extremely dizzy/light headed after vaccine. Patient improved within 5 minutes but did call family member for ride home.

Other Meds:

Current Illness:

ID: 1271317
Sex: M
Age: 56
State: IL

Vax Date: 04/29/2021
Onset Date: 04/29/2021
Rec V Date: 04/29/2021
Hospital:

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

Lab Data:

Allergies: Allergy to NSAIDS, pollens and animal dander

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

Symptoms: Lymphadenopathy - swelling left side (same side as injection) of face along jaw line

Other Meds: Eliquis Amlodipine Levemir Fluticasone propionate

Current Illness: None other than seasonal allergies

ID: 1271318
Sex: F
Age: 31
State: OH

Vax Date: 04/10/2021
Onset Date: 04/18/2021
Rec V Date: 04/29/2021
Hospital:

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

Lab Data:

Allergies: Clindamycin

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

Symptoms: Small, red, puss-filled vesicles on the skin. Itching and spreading across the body. First location in the underarm and on the knee of the same side. Now scabbed and still itching/painful. Appears to be a chicken pox and/or shingles-like reaction. Not from bugs or contagious illness as none in household are affected. Mottled net rash throughout body that does not itch.

Other Meds: Propranolol, Effexor ER

Current Illness: NA

ID: 1271319
Sex: F
Age: 30
State: NJ

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

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

Lab Data:

Allergies: Not that I am aware of

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

Symptoms: Sore and pain at injection site. Time: Started 3 minutes after injection. Injection was 10:45 AM ET on 4/19, 2021. symptom worsened, and I followed CDC website recommendation on moving the arm and applying wet cloth on the area. Moving arm and applying wet cloth were both helpful. The worst time was around 5:30 PM since I napped between 5PM to 5:30PM. After I check CDC website and applied wet cloth on the area around 6PM, the symptom started to get better. On 4/20, 2021, the symptom lessens. I still moved/used my right arm and applied wet cloth on the area. On 4/21, 2021, the symptom was gone.

Other Meds: None

Current Illness: 1. Inner bleeding due to 4/13 blood draw on left arm elbow. The COVID vaccine injection which I am reporting about AEs was on my right arm. 2. Sprained right thumb around week of 3/15. 3. Have mild Eczema on back. 4. Have mild Asthma. Last Asthma attack was at age of 11 or 12.

ID: 1271320
Sex: F
Age: 16
State: CA

Vax Date: 04/12/2021
Onset Date: 04/13/2021
Rec V Date: 04/29/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Developed hives on body the next morning, some spreading to around nose and mouth, improved with Benadryl. Hives came and wetn over 3 days. No other symptoms.

Other Meds: none

Current Illness: none

ID: 1271321
Sex: M
Age: 60
State: CA

Vax Date: 04/27/2021
Onset Date: 04/27/2021
Rec V Date: 04/29/2021
Hospital:

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

Lab Data:

Allergies: CODEINE, IODINE, PENICILLINS, TETRACYCLINE

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: On 4/27/21, client was brought to vaccine site by case manager, who stated that he is homeless and currently at an inpatient psychiatric facility awaiting placement and needed a COVID vaccine in order to get housing. Case manager assisted client fill out Vaccination Screening Form with client signing it. After reviewing answers to questions with client (client denied having been vaccinated previously), Moderna vaccine was administered at 14:45. Client was monitored for the required 15 minute observation, with no adverse effects and stated "I feel fine." Two hours later, after the close of the vaccine clinic, documentation of the vaccine discovered that a previous COVID vaccine dose had been documented on 2/03/21. ThThis dose is recorded as Pfizer 0.3mL EN5318 in the left deltoid at CVS #103..(cannot read). No follow-up dose was recorded, only one dose of Pfizer was recorded. Moderna dose given was recorded into system. County Health Services Agency Vaccination Unit was notified for guidance for client safety. Phone calls were not answered, so email was sent with my work cell phone listed. Inpatient facility where client is staying was notified of mixed dose and asked to monitor for any adverse effects. RN on unit stated, "He is sitting in the day room. I just spoke with him and he had no complaints. His vital signs were just taken and they are within normal limits." No response to email was given overnight and no phone call response either. Email response was given at 10:52am on 4/28/21 by Dr who made clear that this is a mixed series and needs reporting to VAERS and should be noted on the vaccine card. No other actions were given.

Other Meds: UNKNOWN

Current Illness: UNKNOWN

ID: 1271322
Sex: F
Age: 82
State: NJ

Vax Date: 04/28/2021
Onset Date: 04/29/2021
Rec V Date: 04/29/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: 4/29 morning after the moderna Covid 2nd injection my dad called me to say my mom was extremely weak and could not stand. When I arrived she was laying in the floor very nauseous and could not stand on her own. She had crawled to bathroom and then just laid on floor in hallway outside of bathroom. I called 911 to check her vitals as she wasn?t responding much but she was conscious. EMTs got her sitting in a chair and checked BP 190/90 and pulse and pulse ox was 94. She dry vomited once and EMTs got her in her bed and eventually she became a bit more alert as was able to sip water and tea and a few bites of toast. Just in and out falling asleep. As of 2:40 pm on 4/29 just sleeping.

Other Meds: Phenytoin 100 mg cap 3x day Metoprolol succ er 50 mg tab 1x day Levothyroxine 88 mcg tab 1x day Midodrine hcl 5 mg tab 3 x day Enalapril maleate 2.5 mg tab 1x day Pravastatin sodium 40 mg tab 1x day Centrum silver multivitamin Occuvite Baye

Current Illness: None. Surgery for Pacemaker in Dec 2020 due to intermittent heart block diagnosis

ID: 1271323
Sex: M
Age: 64
State: MO

Vax Date: 04/28/2021
Onset Date: 04/29/2021
Rec V Date: 04/29/2021
Hospital:

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

Lab Data:

Allergies: nka

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

Symptoms: pt says the next day after taking the vax when he woke up next day he had a low grade fever, chills, fatigue, and left arm is sore. Pt says he is taking Tylenol as well as his Naproxen for the pain. He said his symptoms are getting better.

Other Meds: naproxen, alopurinol, famotidine,

Current Illness:

ID: 1271324
Sex: F
Age: 61
State: MA

Vax Date: 04/07/2021
Onset Date: 04/09/2021
Rec V Date: 04/29/2021
Hospital:

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

Lab Data:

Allergies: Penicillin, Flagyl, Codeine.

Symptom List: Unevaluable event

Symptoms: She received her vaccine, and on 4/9/21 she developed a severe ringing in her right ear really loud. It then just kept getting worse and worse and then went to the other ear. Then there was a buzzing at night inside her head. She started getting head tremors inside of her head, and it has not stopped as of 4/29/21. She called her doctor and talked to him and he gave her Zyrtec, however, she is very very sensitive to medications so she could not take a lot of it. It didn't help the right ear which is the worst one. The left ear just started to subside a little bit. It has now been on and off, but still pretty severe in the right ear. The head tremors feel like shaking inside of her head which are not apparent from the outside, and the buzzing. She had another phone APT again and she is scheduled to see a specialist an ENT on 5/3/21 as the condition is debilitating. She is not able to sleep, eat or function due to this condition.

Other Meds: None.

Current Illness: None.

ID: 1271325
Sex: M
Age: 52
State: NH

Vax Date: 04/14/2021
Onset Date: 04/28/2021
Rec V Date: 04/29/2021
Hospital:

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

Lab Data:

Allergies: Mirabegron

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

Symptoms: Acute DVT of left calf

Other Meds: ? vibegron (Gemtesa) 75 mg Tablet Take 75 mg by mouth daily. ? multivitamin with minerals Tablet Take one tablet daily. ? turmeric, bulk, 100 % Powder Take as directed.

Current Illness: Unknown

ID: 1271326
Sex: U
Age: 78
State: MI

Vax Date: 03/28/2021
Onset Date: 03/28/2021
Rec V Date: 04/29/2021
Hospital:

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

Lab Data:

Allergies: unknown

Symptom List: Injection site pain, Pain

Symptoms: 2nd dose of moderna covid-19 dose given too early. was administered at only 21 days after 1st moderna vaccination.

Other Meds: flagyl

Current Illness: unknown

ID: 1271327
Sex: F
Age: 47
State: CA

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

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

Lab Data:

Allergies: No

Symptom List: Injection site pain, Menorrhagia

Symptoms: After 2/2/21 morning 2nd Moderna shot, my arm started to felt numb. In the afternoon and evening, Then, my arm started to become disabled. I have limited range of motions: I can not turn and raise my arm. My pain is at the glenohumeral joint, acromium, coraco-acromial ligament, acromioclavicular ligament, and coracoclavicular ligament as well as upper arm muscles and the attachment points to the humerus. It was painful to touch. I could not sleep flat but upright. I could not sleep on my left arm. If I sleep flat, I wait up with shoulder soreness. I have treated myself with Tylenol, heat and herbs. Since the diagnosis is side effect of vaccine, it is hard to treat and the progress is slow.

Other Meds: Vitamin D

Current Illness: No

ID: 1271328
Sex: F
Age: 55
State: NM

Vax Date: 04/29/2021
Onset Date: 04/29/2021
Rec V Date: 04/29/2021
Hospital:

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

Lab Data:

Allergies: flu shot, betadine latex, pork

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

Symptoms: patient presented to pharmacy for first dose of Moderna Covid 19 vaccine, with no symptoms. Pt made me aware of allergies to items listed, we discussed types of reactions. patient had had PEG previously with no reaction. we discussed remaining for 30 minutes. patients vaccine was administered in the left arm at 9:40. at 9:50 patients daughter let us know she was feeling lightheaded. i immediately checked her, breathing was fine, no hives or urticaria. we elevated her legs, and began talking with her. she continued to feel extremely lightheaded.. at 9:50 911 was called. pt was lightley responsive, and no other symptoms. paramedics arrived just after 10am. blood pressure and oxygen were checked both were within normal range. Ambulance arrived shortly after and patient was transported.

Other Meds:

Current Illness: none

ID: 1271329
Sex: F
Age: 66
State: IN

Vax Date: 03/10/2021
Onset Date: 03/11/2021
Rec V Date: 04/29/2021
Hospital:

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

Lab Data:

Allergies: penicillin, cephalosporins, stinging insects, verset

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Blood clots in both lungs upper and lower chambers New stage 2 HBP Chest pain and tightness Shortness of breath Fever, headache, joint pain severe, chills, nausea

Other Meds: Cymbalta, Lamictal, hair/skin/nail vitamins OTC

Current Illness: none

ID: 1271330
Sex: M
Age: 75
State: TX

Vax Date: 04/28/2021
Onset Date: 04/29/2021
Rec V Date: 04/29/2021
Hospital: Y

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

Lab Data:

Allergies: no

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: acute R arm weakness at 0900 am today

Other Meds: celexa crestor

Current Illness: no

ID: 1271331
Sex: M
Age: 50
State: NC

Vax Date: 04/27/2021
Onset Date: 04/28/2021
Rec V Date: 04/29/2021
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: muscle pain, headache, fever/chills, nausea, tiredness lasted 24 hours. Some muscle pain (especially lower back), soreness at injection site and lack of energy has lasted more than 24 hours since symptoms started. I felt fine the first several hours after receiving vaccine, but woke up around midnight with symptoms.

Other Meds: Metoprolol and Zyrtec-D

Current Illness: none

ID: 1271333
Sex: F
Age: 54
State: PA

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 04/29/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List: Nausea

Symptoms: Fever 102.8, chills, sore arm, fatigue, nausea, body aches. Took Ibuprofen, didn't relieve symptoms.

Other Meds: Levothyroxine

Current Illness: No

ID: 1271334
Sex: M
Age: 39
State: GA

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

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

Lab Data:

Allergies: Unknown

Symptom List: Injection site pain

Symptoms: Shortly after receiving vaccine, participant c/o dizziness and SOB; Oxygen saturation : 88% - 97% B/P 166/82; appeared to 'pass out', when aroused, opened eyes and had a 'dazed' look; called EMS; complained of feeling 'light-headed' ; EMS arrived and assessed participant and transported to hospital.

Other Meds: Unkn own

Current Illness: Unknown

ID: 1271335
Sex: M
Age: 56
State: PA

Vax Date: 04/28/2021
Onset Date: 04/28/2021
Rec V Date: 04/29/2021
Hospital:

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

Lab Data:

Allergies: none

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

Symptoms: Sever burning and shocking (electric shock) pain in right leg extending to all over the body. Called his Nero doctor. He prescribed oxycodone-acetaminophen 5-325 to take 1 or 2 every 6 hrs for severe pain. He took 2 and had some relief within 20 minutes.

Other Meds: Plavix 75mg 1 Daily, pantoprazole sod ec tb 40mg 1 daily, atorvastatin tab 40 mg 1 daily, metoprolol tartrate 25mg 1 daily, Gabapentin 600mg 2 twice daily, aspirin 81mg daily, and Tylenol as needed

Current Illness: drop foot and moderate neuropathy in right leg.

ID: 1271336
Sex: F
Age: 72
State: NY

Vax Date: 03/26/2021
Onset Date: 05/03/2021
Rec V Date: 04/29/2021
Hospital:

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

Lab Data:

Allergies: NKA

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

Symptoms: Bilateral shoulder and upper arm pain (and burning sensation), with limitation of range of motion due to pain.

Other Meds: Aspirin 81mg x 2, Pravastatin 20mg, Vitamins - calcium, fish oil, B complex

Current Illness: None

ID: 1271337
Sex: M
Age: 54
State: MI

Vax Date: 04/05/2021
Onset Date: 04/05/2021
Rec V Date: 04/29/2021
Hospital:

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

Lab Data:

Allergies: unknown

Symptom List: Tremor

Symptoms: 2nd dose of moderna covid-19 dose given too early. was administered at only 21 days after 1st moderna vaccination.

Other Meds: pcn, tape, adhesive tape, other

Current Illness: unknown

ID: 1271338
Sex: F
Age: 30
State: PA

Vax Date: 01/07/2021
Onset Date: 01/24/2021
Rec V Date: 04/29/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Erythema, Pruritus

Symptoms: I developed shingles (herpes zoster) on my R upper chest and back ~3 weeks after my 2nd Pfizer COVID-19 vaccine. I was evaluated by my primary care doctor and completed a course of valacyclovir.

Other Meds: sertraline, spironolactone, allegra

Current Illness: None

ID: 1271339
Sex: F
Age: 26
State: IN

Vax Date: 04/27/2021
Onset Date: 04/29/2021
Rec V Date: 04/29/2021
Hospital:

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

Lab Data:

Allergies: N/A

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

Symptoms: Flu like symptoms, pain in injection site, headache, dizziness, sore throat, fatigue.

Other Meds: Lexapro

Current Illness: No

ID: 1271340
Sex: M
Age: 30
State: CA

Vax Date: 04/29/2021
Onset Date: 04/29/2021
Rec V Date: 04/29/2021
Hospital:

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

Lab Data:

Allergies: none

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

Symptoms: Patient stated feeling light headed passed out shortly after chipping right front tooth and hitting head. Vitals taken 157/97 76 16 98% denied dizziness, regained consciousness immediately, denied nausea. Monitored for 30 minutes vitals stable instructed if nausea or dizziness to seek medical attention; verbalized understanding.

Other Meds: None

Current Illness: none

ID: 1271341
Sex: F
Age: 41
State: FL

Vax Date: 04/28/2021
Onset Date: 04/29/2021
Rec V Date: 04/29/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: headache, fatigue, fever, that started on the day of the vaccine.

Other Meds:

Current Illness:

ID: 1271342
Sex: F
Age: 27
State: MA

Vax Date: 04/19/2021
Onset Date: 04/26/2021
Rec V Date: 04/29/2021
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: Left arm pain starting day of vaccine, continued for 5 days after vaccine Low-grade fever for 2-3 days after vaccine Joint pain for 3-4 days after vaccine Petechiae on the back of right hand and distal forearm appeared one week after receiving vaccine

Other Meds: Fluoxetine, levothyroxine

Current Illness:

ID: 1271343
Sex: F
Age: 68
State: MD

Vax Date: 03/06/2021
Onset Date: 03/08/2021
Rec V Date: 04/29/2021
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: Gastrointestinal diverticular ulcer flare up Stomach pain, acid build up, GERD, bloating for 2 weeks Treatment included prescriptions for 3 different antibiotics and 2 acid reducers Allergic to Polyethylene glycol

Other Meds:

Current Illness:

ID: 1271344
Sex: F
Age: 59
State: OK

Vax Date: 04/27/2021
Onset Date: 04/27/2021
Rec V Date: 04/29/2021
Hospital:

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

Lab Data:

Allergies: Codeine

Symptom List: Pain in extremity

Symptoms: Fever. Chills. Fainting. Nauseated. whole body aches.dizziness. 11:30 pm to 5am on the 27th to 28th. Broke fever 5am . Lethargic and dizzy continued today. Painful gums on left side.

Other Meds: Levothyroxine. Simvatin. Estrace

Current Illness: None

ID: 1271345
Sex: M
Age: 38
State: NY

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/29/2021
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: Within about 5 seconds of receiving the vaccination my arm felt extremely sore; approximately 30 minutes later it felt like the neck swelled up and I developed a headache; the next morning I had a severe headache, nausea, fever, chills, pain in my neck, and severe muscle aches that lasted for approximately 2 days; during that time I could not sleep or eat; my stomach felt off for about 10 days; the headache improved but lasted approximately 2 weeks; the swelling in my neck seems to have improved but has not gone away completely

Other Meds: none

Current Illness: none

ID: 1271346
Sex: F
Age: 53
State: OK

Vax Date: 03/06/2021
Onset Date: 03/11/2021
Rec V Date: 04/29/2021
Hospital: Y

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

Lab Data:

Allergies: penicillan

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

Symptoms: Blood clot behind left knee found on 3/11/21 and traveled to lungs. Admitted to hospital for Heart Failure from Chemo, PE and pneumonia.

Other Meds: Dexamethazone

Current Illness: Breast cancer

ID: 1271347
Sex: F
Age: 30
State: MI

Vax Date: 04/20/2021
Onset Date: 04/20/2021
Rec V Date: 04/29/2021
Hospital:

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

Lab Data:

Allergies: NKA

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

Symptoms: 2nd dose of moderna covid-19 dose given too early. was administered at only 21 days after 1st moderna vaccination.

Other Meds: NKA

Current Illness: unknown

ID: 1271348
Sex: F
Age: 43
State: FL

Vax Date: 04/15/2021
Onset Date: 04/16/2021
Rec V Date: 04/29/2021
Hospital:

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

Lab Data:

Allergies: Lactose intolerant, seasonal allergies, morphine

Symptom List: Vomiting

Symptoms: The day after the vaccine I experienced brain fog, fatigue, and sore arm. I also got my period. I have a history of painful periods but after an endometrial ablation over 10 years ago I have had normal pain. The period after the vaccine was incredibly painful and the consistency of the discharge was completely different. Pale pink clots that almost looked like uterine lining instead of clots I'm used to seeing. I want to report this because I've talked to other women who've had something similar but I didn't see anything about it on the CDC website.

Other Meds: Seroquel, Zyrtec, Synthroid, Naltrexone, Wellbutrin, biotin, omeprazole, rizatriptan, multivitamin

Current Illness: Migraines

ID: 1271349
Sex: F
Age: 61
State: WI

Vax Date: 04/01/2021
Onset Date: 04/09/2021
Rec V Date: 04/29/2021
Hospital:

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

Lab Data:

Allergies: NO

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: NINE DAYS AFTER patient RECEIVED THE VACCINE SHE DEVELOPED A RASH ON HER SHOULDERS. RASH SPREAD TO 50% OF HER BACK, RASH CONTINUED DOWN HER ARMS. NO LYMPH NODE INVOLVEMENT. RASH WAS RAISED, RED, VERY ITCHY, WARM TO TOUCH. RASH IS STILL PRESENT AND NEW AREA DEVELOPING ON BACK OF UPPER LEFT LEG. patient NOTED SEVERAL DAYS BEFORE RASH APPEARED SHOULDERS WERE VERY ITCHY.

Other Meds: NONE

Current Illness: NO

ID: 1271350
Sex: F
Age: 51
State: NY

Vax Date: 04/11/2021
Onset Date: 04/28/2021
Rec V Date: 04/29/2021
Hospital:

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

Lab Data:

Allergies: Quinolones

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

Symptoms: Rash on the left leg

Other Meds: Flovent HFA 44 MCG, Lisinopril HCTZ 20/25, Atorvastatin 20mg, Albuterol HFA

Current Illness: N/A

ID: 1271351
Sex: F
Age: 34
State: OK

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

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

Lab Data:

Allergies:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: After a community vaccination clinic, it was discovered that there were 3 extra syringes. Staff could not remember how many they drew for the day out of the vial (10 or 11). One staff member remembered 2-3 vaccines being "easy" to give and began questioning if all the syringes had actual vaccine or not. Moderna contacted. Suggested not offering a 3rd vaccine due to data. Patients will be contacted and notified today about the incident and offered an antibody test if desired.

Other Meds: Several patients involved. No ADR, vaccine administration error.

Current Illness:

ID: 1271353
Sex: M
Age: 33
State:

Vax Date: 04/29/2021
Onset Date: 04/29/2021
Rec V Date: 04/29/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: About 15 minutes after patient received vaccine he started sweating really badly and felt very light headed.

Other Meds:

Current Illness:

ID: 1271354
Sex: F
Age: 24
State: TX

Vax Date: 04/28/2021
Onset Date: 04/28/2021
Rec V Date: 04/29/2021
Hospital:

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

Lab Data:

Allergies: Have had a reaction to either lidocane or fentanyl before (unsure which caused the issue) Latex Seasonal allergies - mold, dust, grass, pollen, etc.

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

Symptoms: Started feeling extremely nauseous about 6 hours after vaccine (to the point of nearly vomiting; Nausea has continued through the next day (2PM 4/29 as of writing this) and is now accompanied by a pounding headache.

Other Meds: Zyrtec Nuvaring birth control

Current Illness: N/A

Total 2021 VAERS Injuries: 704,237

Page last modified: 26 October 2021 2:21am