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
72,296
AK1,638
AL5,339
AR3,412
AS44
AZ13,316
CA58,147
CO11,002
CT7,824
DC1,626
DE1,670
FL36,235
FM3
GA13,429
GU82
HI2,195
IA4,332
ID2,473
IL19,261
IN22,568
KS4,284
KY6,945
LA4,714
MA13,886
MD11,901
ME2,997
MH8
MI17,865
MN11,345
MO8,919
MP30
MS2,676
MT2,147
NC15,401
ND1,273
NE2,732
NH2,859
NJ17,232
NM3,702
NV4,071
NY32,763
OH18,072
OK5,940
OR7,954
PA22,457
PR2,104
QM2
RI1,911
SC6,055
SD1,133
TN8,691
TX34,122
UT4,023
VA13,944
VI49
VT1,661
WA13,811
WI10,395
WV2,220
WY805
XB5
XL1
XV2

ID: 1289225
Sex: F
Age: 33
State: IN

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

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

Lab Data:

Allergies: Styrofoam

Symptom List:

Symptoms: Extreme muscle soreness, fatigue, headache, sinus pain in forehead

Other Meds: Prenatal

Current Illness: Sinus infection 2 weeks prior

ID: 1289226
Sex: F
Age: 50
State: CA

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

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: Very sore and sensitive to touch on the vaccination site, headache, soreness all over, stomach pain and cramping, restarted spotting and bleeding after being in menopause for 11/2 years

Other Meds: Calcium, magnesium , vit b complex

Current Illness: N/A

ID: 1289227
Sex: F
Age: 42
State: MD

Vax Date: 04/17/2021
Onset Date: 04/24/2021
Rec V Date: 05/05/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Sore upper arm from the first 24 to 36hrs. Severe (can't sit >15min; can't lie down >3hrs) lower back pain starting 6 days after the shot and still ongoing 13 days after pain started.

Other Meds: None

Current Illness: None

ID: 1289228
Sex: M
Age: 37
State: PA

Vax Date: 12/29/2020
Onset Date: 01/02/2021
Rec V Date: 05/05/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List:

Symptoms: Fever or Chills Cough Muscle or body aches

Other Meds: UNKNOWN

Current Illness: UNKNOWN

ID: 1289229
Sex: F
Age: 63
State: MD

Vax Date: 04/24/2021
Onset Date: 04/28/2021
Rec V Date: 05/05/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Prolonged fatigue

Other Meds: Alive multivitamin

Current Illness: none

ID: 1289230
Sex: F
Age: 37
State: MI

Vax Date: 04/16/2021
Onset Date: 04/17/2021
Rec V Date: 05/05/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: I developed a rash the next morning after receiving the vaccine. I had a rash on my right breast into my arm pit, and my breasts became enlarged...I had a high fever and was feeling lethargic. I felt terrible over the next few days and started developing even more rashes. My face was swelling . I went to the Emergency Room and they diagnosed me with Shingles, I was on medication for the shingles and i still kept breaking out with rashes. the left side of my face began to droop and I was not thinking straight. I went to the ER about 4 more times along with visits to my OBGYN and dermatologist. My dermatologist did biopsies of the rashes and it was found to be that I had an allergic reaction to the Moderna Shot.

Other Meds: None

Current Illness: None

ID: 1289231
Sex: F
Age: 57
State: CA

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Flushing/sweating and dizziness. After pt rested an extra 15 minutes while being hydrated, pt voiced feeling better and no more dizzines. Stable and released.

Other Meds:

Current Illness:

ID: 1289232
Sex: F
Age: 38
State: NY

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient c/o itching around her throat area and right ear, after receiving Pfizer 1st dose. MD called advised give at Allegra 180 mg, and further observe.

Other Meds:

Current Illness:

ID: 1289233
Sex: F
Age: 54
State: MD

Vax Date: 04/30/2021
Onset Date: 05/01/2021
Rec V Date: 05/05/2021
Hospital:

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

Lab Data:

Allergies: sulfa

Symptom List:

Symptoms: diffuse itchy papular rash on entire trunk of body, upper arms and lower legs

Other Meds: lisinopril 30mg amlodipine 10 mg

Current Illness:

ID: 1289234
Sex: F
Age: 35
State: TX

Vax Date: 05/01/2021
Onset Date: 05/01/2021
Rec V Date: 05/05/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Headache, body ache, fever, chills, fatigue, pain in lymph nodes, sore arm. Symptoms were moderate for first 24 hours, then mild next 24 hours, and gone by day 3.

Other Meds:

Current Illness:

ID: 1289235
Sex: F
Age: 32
State: WI

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 05/05/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: headache, sinus congestion, runny nose; started on 04/27, still present as of 05/03.

Other Meds:

Current Illness:

ID: 1289236
Sex: F
Age: 20
State: FL

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Dizziness and quickened breath after injection and then fainted about a minute or so after injection

Other Meds: Sertraline, Bupropion XL, Vitamin D3 supplement, Kyleena IUD

Current Illness: None

ID: 1289237
Sex: F
Age: 63
State:

Vax Date: 04/13/2021
Onset Date: 04/13/2021
Rec V Date: 05/05/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: It looks like the patient received a 3rd dose of Moderna. 1st dose listed - 1/20/21. 2nd dose listed - 3/14/21. 3rd dose given 4/13/21.

Other Meds:

Current Illness:

ID: 1289238
Sex: M
Age: 73
State: PA

Vax Date: 04/09/2021
Onset Date: 04/16/2021
Rec V Date: 05/05/2021
Hospital:

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

Lab Data:

Allergies: No Known Allergies

Symptom List:

Symptoms: runny nose, headache, body aches and chills Mucinex Tessalon Perles Tylenol

Other Meds: acetaminophen (TYLENOL EXTRA STRENGTH ORAL) albuterol HFA (PROAIR HFA) 90 mcg/actuation inhaler amLODIPine (NORVASC) 5 mg tablet aspirin 81 mg tablet calcium citrate-vitamin D3 (CITRACAL+D) 315-200 mg-unit per tablet CONTOUR TEST STRIPS str

Current Illness: Benign prostatic hyperplasia with urinary obstruction Gastroesophageal reflux disease without esophagitis

ID: 1289239
Sex: F
Age: 33
State: GA

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

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

Lab Data:

Allergies: NA

Symptom List:

Symptoms: Sore neck and muscle stiffness on the side of the injection site. First injection was in the right arm and 3 to 5 day later experienced symptoms. Second injection in left arm and same symptoms as listed previously.

Other Meds: Nettle Leaf

Current Illness: NA

ID: 1289240
Sex: F
Age: 46
State: VA

Vax Date: 04/23/2021
Onset Date: 04/30/2021
Rec V Date: 05/05/2021
Hospital:

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

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: Bells Palsy

Other Meds: Cetirizine, Junel- FE

Current Illness: seasonal allergies

ID: 1289241
Sex: M
Age: 38
State: IL

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

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

Lab Data:

Allergies: no known

Symptom List:

Symptoms: Pt. had severe genital and lip swelling 12 hours after injection

Other Meds: acetaminophen 650mg daily; hydrochlorothiazide-lisinopril 25mg-20mg daily; risperidone 4mg daily

Current Illness: none

ID: 1289242
Sex: F
Age: 38
State: CA

Vax Date: 02/06/2021
Onset Date: 02/10/2021
Rec V Date: 05/05/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Swollen lymph node on my neck/left collar bone and in my left armpit. The swollen lymph nodes started about 3-4 days after the first dose. My left armpit hurt and my entire arm felt sore. I felt the swollen lymph node on my neck because it felt sore and uncomfortable.

Other Meds: none

Current Illness: none

ID: 1289243
Sex: F
Age: 34
State: TN

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

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

Lab Data:

Allergies: None known

Symptom List:

Symptoms: Chills, arm pain, fever blister on my lip, and a single line of rash behind my left knee.

Other Meds: Levothyroxine

Current Illness: None

ID: 1289244
Sex: M
Age: 31
State: PA

Vax Date: 12/29/2020
Onset Date: 01/10/2021
Rec V Date: 05/05/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List:

Symptoms: UNKNOWN

Other Meds: NONE

Current Illness: NONE

ID: 1289245
Sex: M
Age: 33
State: PA

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

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

Lab Data:

Allergies: allergic to crabs once in 2012.

Symptom List:

Symptoms: After 12 h, i feel cold with low fever, mild sweating during sleep, they lasted for two nights. diarrhea started 1:30 am on day 2, with 3 times of water stools in total on day 2.

Other Meds: no

Current Illness: no

ID: 1289246
Sex: F
Age: 43
State: IN

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

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

Lab Data:

Allergies: penicillin; cats. blue cheese

Symptom List:

Symptoms: fever (up to 101.5); extreme fatigue; sore arm; tightness/pressure in chest; lack of energy or will to do anything

Other Meds: prenatal vitamin; vitamin d; iron; zyrtec; magnesium chloride

Current Illness: nonw

ID: 1289247
Sex: M
Age: 59
State: TX

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Half-Dollar sized skin rash on right back, similar to Shingles - skin tenderness along rib cage under right breast

Other Meds: None

Current Illness: None

ID: 1289249
Sex: F
Age: 79
State: VA

Vax Date: 03/17/2021
Onset Date: 03/18/2021
Rec V Date: 05/05/2021
Hospital:

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

Lab Data:

Allergies: zithromax-unknown, codeine--nausea, penicillin G--hives, tacrolimus--rash

Symptom List:

Symptoms: patient felt lightheaded and nauseous suddenly on the morning after the 2nd covid vaccine. she tried to lower herself to the floor, but blacked out and hit her head, requiring staples. she is still experiencing extreme fatigue, which is unusual for her. she is highly functional at baseline.

Other Meds: flonase spray, nexium, biotin, vitamin B12, restasis eye drops, glucosamine/chondroitin, zyrtec, vitamin D3

Current Illness: none

ID: 1289250
Sex: F
Age: 35
State: CA

Vax Date: 04/18/2021
Onset Date: 04/29/2021
Rec V Date: 05/05/2021
Hospital:

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

Lab Data:

Allergies: no allergies

Symptom List:

Symptoms: 10 days later chest pain numbness of left arm and left leg , chest pain was evaluated in eD. Severe malaise and left sided discomfort. seen in ed see below

Other Meds: none

Current Illness: none

ID: 1289251
Sex: U
Age:
State: NY

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: 24 hrs after...funny taste in mouth...48 hrs in, numbness left cheek, tongue swelling / distortion.

Other Meds:

Current Illness:

ID: 1289252
Sex: F
Age: 49
State:

Vax Date: 04/15/2021
Onset Date: 04/16/2021
Rec V Date: 05/05/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: Day after receiving first Pfizer dose, patient began feeling significant body aches, headache, respiratory tightness, and extreme fatigue. These symptoms continued for 10 days post injection. Significant fatigue was still persisting 15 days after injection at the time of report to HCP.

Other Meds: N/A

Current Illness: N/A

ID: 1289253
Sex: F
Age: 68
State: MD

Vax Date: 04/17/2021
Onset Date: 04/22/2021
Rec V Date: 05/05/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Developed itchy rash that got progressively worse and and was finally diagnosed as Shingles by doctor on 5-4-21 as pain got so bad and it was not getting better. Also had fever blister outbreak which did subside.

Other Meds: none

Current Illness: none

ID: 1289254
Sex: F
Age: 38
State: IL

Vax Date: 04/28/2021
Onset Date: 05/05/2021
Rec V Date: 05/05/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient Stated 1 week after receiving 2nd dose, patient started period and it was worse than it had ever been before.

Other Meds:

Current Illness:

ID: 1289255
Sex: M
Age: 37
State: RI

Vax Date: 04/27/2021
Onset Date: 04/29/2021
Rec V Date: 05/05/2021
Hospital: Y

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

Lab Data:

Allergies: Milk containing products

Symptom List:

Symptoms: Following second COVID-19 vaccination on 4/27/21, patient experienced diaphoresis/rigors, nausea, myalgia, headache, extreme fatigue, and chest pain starting on 4/29/21 around 8 pm. Patient presented to the emergency department at Hospital on 4/30/21 and was found to have an elevated troponin. Transferred to another Hospital where patient underwent cardiac catheterization and ECHO and was admitted to the hospital. Patient was discharged from the hospital on 5/1/21 following negative findings on diagnostic exams and resolution of troponin level.

Other Meds: None noted

Current Illness: None noted

ID: 1289257
Sex: F
Age: 29
State: MI

Vax Date: 04/08/2021
Onset Date: 05/01/2021
Rec V Date: 05/05/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Two days after my 2nd dose I exhibited severe pelvic cramping along with pain in both ovaries. The pain lasted for about an hour where I was unable to lay down, sit up or stand up without convulsing. There were muscle spasms, exhibited lots of shivering and cold. I treated this with Tylenol and it did not help immediately. After the hour I was able to lay down and go to sleep with the pelvic area still sore but not in as much pain as previously stated. The next two days I exhibited soreness in the pelvic and ovary areas. Currently I am experiencing no pain.

Other Meds: Citalopram, Women's Vitamin

Current Illness:

ID: 1289258
Sex: M
Age: 79
State: MA

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

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

Lab Data:

Allergies: losartan

Symptom List:

Symptoms: Bells Palsy, started 5/4/21. 1st dose of pfizer vaccine given on 4/14/21. Had been due for second dose on 5/5/21 but will be delayed by a couple of weeks or will switch to J&J.

Other Meds: Tylenol, albuterol, apixaban, digoxin, diltiazem, glargine, lispro, irbesartan, ketoconazole, mecliizine, metformin, metoprolol, nystatin, omeprazole, pravastatin, Tamsulosin, loperamide

Current Illness: N/A

ID: 1289259
Sex: F
Age: 50
State: MI

Vax Date: 04/14/2021
Onset Date: 04/15/2021
Rec V Date: 05/05/2021
Hospital:

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

Lab Data:

Allergies: Shrimp; light allergy to dust, mold, pollen

Symptom List:

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA I have experienced pain and tingling in my left arm, where I was injected with the vaccine, since the night (early next morning) I received the vaccination. The pain and tingling runs from right below the point of injection down through my forearm. Just within the last few days (3-5 day) I am experiencing tingling in my hand/fingers.

Other Meds: Allegra

Current Illness: None

ID: 1289260
Sex: M
Age: 50
State: CA

Vax Date: 04/23/2021
Onset Date: 04/23/2021
Rec V Date: 05/05/2021
Hospital:

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

Lab Data:

Allergies: Asthma due to milk, dust, smoke

Symptom List:

Symptoms: Was feeling fine and health when prior to the shot. We were directed (wife and I) to sit down for 15 minutes before leaving. For the first 13 minutes I was talking to my wife, joking, etc. I felt fine. However, after 13 minutes or so, I started to felt light heading and week. Then started to sweat and then I couldn't speak. I felt like passing out. My wife told me that the a man was trying to told we up and prevent me from falling. I could hear what others were saying. My wife states I turned pale, eyes looked stright ahead, and my mouth was distorted. This came all at once and within a minute experienced all these symptoms. The pharmacy staff gave me an eppy shot to get me back, then I was told to lay down on the floor. I came to withing a minute or two and felt much better. They had called 911 for an ambulence to come out. The responders checked me out (vitals) and all looked fine, but I was highly advised to go with them to the ER to get checked out.

Other Meds: none

Current Illness: None

ID: 1289261
Sex: F
Age: 48
State: CT

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

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

Lab Data:

Allergies: Morphine allergy Seasonal Allergies

Symptom List:

Symptoms: About 8 hours after the vaccination I had issues with my heart rate accelerating. According to my FITBIT watch and confirmed by our at-home pulse oximeter, my heart rate remained between 95-105 consistently. (this is high for me, normally I am around 75 and less when resting) Even when trying to sleep and laying down, it did not decline. It remained this way consistent for about 36 hours, then was intermittent after that. There was no pain, it was just quite uncomfortable.

Other Meds: NOW Eve MultiVitamin NOW Ashwagandha 450 mgs

Current Illness: Tested positive for COVID-19 on 3/31/21

ID: 1289262
Sex: F
Age: 40
State: TX

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

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

Lab Data:

Allergies: No

Symptom List:

Symptoms: Fever for 10 hour Headache for 20hour+ Muscle pain for 20hour+

Other Meds: No

Current Illness: No

ID: 1289263
Sex: F
Age: 47
State: AZ

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

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

Lab Data:

Allergies: Allergy to the antimalarial drug Malarone

Symptom List:

Symptoms: Day 1: Severe headache, body aches, chills, loss of appetite, fatigue, skin sensitivity, ringing in ears, lethargy, lack of concentration Day 2: Headache, skin sensitivity, ringing in ears, fatigue, lethargy, lack of concentration

Other Meds: 1. Coffee blend with functional mushrooms (Cordyceps, Lion's Mane, Chaga) - I drink one cup daily mixed with Unsweetened Creamer (C6, C8, C10, C12 and Aqaumin) 2. PreNatal Vitamin 3. Vitamin C with Zinc 4. Vitamin D 5. Estroven

Current Illness: None. I'm very healthy

ID: 1289264
Sex: M
Age: 54
State: KY

Vax Date: 03/19/2021
Onset Date: 03/20/2021
Rec V Date: 05/05/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Sleep paralysis the morning after receiving the vaccine. patient has been having sleep paralysis symptoms almost once a week.

Other Meds: none

Current Illness: none

ID: 1289265
Sex: M
Age: 32
State:

Vax Date: 04/11/2021
Onset Date: 04/16/2021
Rec V Date: 05/05/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Afib - palpitations, tachycardia, fatigue

Other Meds: none

Current Illness: none

ID: 1289266
Sex: F
Age: 46
State:

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Heart racing. Given water, crackers, juice. Pt rested in medbay for 15 minutes. Stable and released.

Other Meds:

Current Illness:

ID: 1289267
Sex: F
Age: 46
State: TN

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

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

Lab Data:

Allergies: NA

Symptom List:

Symptoms: Red rash appearing at the injection site. Started the day after receiving second dose of vaccine. Increased in size to cover full area of upper arm by the same evening. Increased in redness on the morning of the second day and began to itch. Began to fade without treatment on day three.

Other Meds: NA

Current Illness: NA

ID: 1289268
Sex: F
Age: 63
State: CA

Vax Date: 02/04/2021
Onset Date: 02/15/2021
Rec V Date: 05/05/2021
Hospital:

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

Lab Data:

Allergies: molds, dust mites, dog hair- allergy shots for years for these bee stings penicillin, cannot take most antibiotics, prednisone ( bad mental rxn);

Symptom List:

Symptoms: 1 shot- fatigue only 2nd shot- hard to tell I was diagnosed with a UTI and told to start on Macrobid that night- I definitely did not feel well for several days but am not sure which was the cause. skin issue started 11 days later ( I did have a massage the day before)

Other Meds: Lisinopril 10 mg/1x; gabapentin 100mg/1x; lanszprozole 2x/day; sucralfate 2x/day; buproprion 150 1x;; cymbalta 90 mg 1x; ativan 1 mg BID; estrogen gel .01% at night/ zyzal 24 hr; nasonex as needed; probiotic

Current Illness: vulvodynia, UTI (macrobid); elbow epicondylitis; a lot of sinus isssues

ID: 1289269
Sex: F
Age: 34
State: IN

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

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

Lab Data:

Allergies: None known

Symptom List:

Symptoms: Vaccine administration error. Event: Patient had 2nd Pfizer dose today (on 5/5/2021). Vaccine syringe malfunctioned during administration. Some vaccine leaked out around syringe during injection, and more vaccine leaked out of the arm after the needle was withdrawn. Vaccine administrator noted that some vaccine was visible remaining in the syringe after it was withdrawn. Administrator estimates that more than half of the 0.3mL dose leaked out of the patient, but is unsure on quantifying the amount. Pt contact information was collected, and she left the facility before CDC guidelines specific to this issue were reviewed. Treatment: After reviewing CDC guidelines specific to this issue regarding how much vaccine was administered after some leaked out, I spoke to pt over phone (at about 11:45 on 5/5/2021), explaining the CDC guideline to return for additional dose in opposite arm today, since it is estimated that less than half of dose remained in patient's arm during administration earlier today. Pt stated she would like to think about it, review guidelines herself, and consult her mother who is in the healthcare field before making decision. I emailed the link and screenshot about the CDC guidelines to the patient. Patient states that she would "probably" come back in as walk-in for repeat dose today or tomorrow. I informed the patient of our hours for walk-ins, and that the CDC recommendation is to receive another dose today. Outcome: patient was counseled that guideline recommendation was to return immediately for repeat dose of Pfizer in the opposite arm. As of time of this writing (12:50pm on 5/5/20201, patient has not returned to the facility for a repeat dose. She was provided with my contact information to address any questions or concerns about returning for a repeat dose. Health director was also notified of this incident and agreed with recommendation per CDC guideline for the patient to return today for repeat dose.

Other Meds: n/a

Current Illness: n/a

ID: 1289270
Sex: M
Age: 47
State: WA

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Around 6 PM Same day felt dizzy and checked my blood pressure and read sys 208/ dia 104/ pulse 105 . Rested called doctor and he prescribed Amlodipine besylate 5 mg tab.blood pressure stood high until 8 pm. So from 6 pm to 8 pm uncomfortable and high average 181/101/108 . At 8 pm blood pressure read 153/98/92 and that?s when I took 1 pill from doctor prescribed. Over evening and night had body temperature around 37.2-37.5 C. Feeling low fever. Morning at 7 am things improved blood pressure is 138/91/92 still had low fever 37.2C. Reporting currently my status to my doctor. Consultation with doctor was over the phone.

Other Meds: Fish Oil 1 capsule 1200 mg D3 1 capsule 5000iu Multivitamin

Current Illness: None

ID: 1289271
Sex: F
Age: 60
State: CA

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: pt. c/o of nausea and vomitting (vomited x1 the liquid drink that was injested earlier as reported by the patient) Patient reported slight dizziness. Vitals: BP:116/74 Pulse: 84 RR:19 o2 sat 98% RA Advised to rest on gurney in sit up position and take sips of water for the nausea. Monitored Vital signs. pt no signs of SOB and no change of LOC. Pt. alert and verbally responsive 10:07am Vitals: BP:124/79 Pulse: 69 RR:18 o2 97% RA Pt. went home and pt. stable and relief with symptoms noted.

Other Meds:

Current Illness:

ID: 1289272
Sex: F
Age: 52
State: PA

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 05/05/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List:

Symptoms: Muscle or body aches, fatigue, chills, headaches

Other Meds: NONE

Current Illness: NONE

ID: 1289273
Sex: M
Age: 47
State: AR

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

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

Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: after receiving the 1st vaccination shot of maderna, I began to feel sick to my stomach about 1 week after the 1st shot, my stomach will grumble as if I'm starving to death (painful hunger pains) but when I eat, its only 3 or 4 bites of food and then I cannot stomach finishing my meals. I'll then feel as if I'm going to throw it back up, this is every meal this occurs. At times for the past month I've woken up around 1 to 4 am immediately throwing up, even if stomach is empty. Also a very severe case of uric acid buildup and painful GOUT in my entire left ankle joint that's had me bedridden for the last 3 weeks that started a week after my vaccination. I notice I've also been extremely agitated, irritable, restless and not sleeping well.

Other Meds: Zoloft, abilify, lisinopril

Current Illness: Sscd, ptsd,

ID: 1289274
Sex: F
Age: 23
State: IN

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

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

Lab Data:

Allergies: No

Symptom List:

Symptoms: Symptoms felt included body ache, skin soreness, chills, and fatigue. Symptoms lasted the entire day after the second vaccine and were gone by the next day after that.

Other Meds: Birth control

Current Illness: No

ID: 1289275
Sex: M
Age: 45
State: MD

Vax Date: 04/10/2021
Onset Date: 04/18/2021
Rec V Date: 05/05/2021
Hospital:

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

Lab Data:

Allergies: Aspirin

Symptom List:

Symptoms: Moderna COVID-19 Vaccine EUA: 2nd dose Please see continuation page ... Inside arm and armpit itching after 5 minutes Diarrhea after 3 hrs which stopped in an hr Transient Shortness of breath after 15 hrs ( last about half an hr): oxygen level 95-100 Chills starting after 15 hr Slight fever ~99f Hearth beat: 95 (normal rate ~60) Extreme Nausea w/o vomiting for 3 to 4 hrs Extremely sensitive to smells (pleasant or unpleasant) triggering nausea Stomach and esophagus intense cramps for 4 hrs so intense that I had to call 911 (they didn't prescribe anything other than Tylenol or NyQuil which I couldn't take due to nausea) Passed out multiple times Hallucinations and talking gibberish Lack of concentration

Other Meds:

Current Illness:

ID: 1289276
Sex: M
Age: 47
State: IL

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Felt fatigue and chills all day. It felt like the onset of the flu. Reporting this only for data collection. Felt fine the next day.

Other Meds: Multivitamin, B12, Vitamin C and Flax Seed

Current Illness: None

Total 2021 VAERS Injuries: 599,999

Page last modified: 03 October 2021 5:28pm