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: 1290468
Sex: F
Age: 19
State: WA

Vax Date: 04/28/2021
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: Dysphagia, Epiglottitis

Symptoms: I became very tired and had body aches two days after my second dose of the Moderna vaccine. After that, it had been about four days since I had received my second dose. I started to notice rashes appear all over my body. They were very itchy at times. So then I went to my local urgent care on May 4th, 2021 to see if they knew what was happening. They prescribed me Hydroxyzine for the itching and Prednisone for the swelling of the rashes. As of May 5th 2021, almost all of the rashes are gone thanks to the medication.

Other Meds: Birth Control, Benedryl, Ibruprofen

Current Illness: None

ID: 1290469
Sex: F
Age: 50
State: CA

Vax Date: 04/24/2021
Onset Date: 04/25/2021
Rec V Date: 05/05/2021
Hospital:

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

Lab Data:

Allergies: ibuprofen

Symptom List: Anxiety, Dyspnoea

Symptoms: hemorrhagic pancreatitis, appears to be the bleeding irritated the pancreas

Other Meds: none

Current Illness: none

ID: 1290470
Sex: M
Age: 19
State: UT

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: penicillin

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

Symptoms: PT received the vaccine and slumped over on the table, was caught by a nurse and was unresponsive. PT fell backward in his chair and was unresponsive. PT fell backward in his chair and was caught by paramedic on scene. PT did not hit head at any point. After being caught the PT was roused and responded to his name. Total time unresponsive was approximately 10-15 seconds. After being roused PT was placed on a stretcher using sit-pick movement technique, brought to a private location and assessed. Assessment revealed PT to be a&Ox4 GCS 15, blood pressure 116/70, pulse 84, RR 18, skin signs pale, cool, dry, pupils equal and reactive to light and motion, 6mm in diameter. During assessment PT was asked about medical history. PT stated that he had an allergy to penicillin as a child that included a rash and no anaphylactic reaction. PT stated that he had laparoscopic surgery for two hernias in approximately august of 2020. PT also stated that he has a history of syncopal episodes, usually during blood draws, but never during an injection or vaccination before. PT was reassessed approximately 5 minutes after the initial assessment. PT was A&Ox4 GCS 15, BP 122/72, PR 76, RR 16. Skin S:Warm, Dry, pink, PEARL-5mm. PT was given water, color improved and mentation remained normal/intact. PT was urged to contact a doctor for more definitive evaluation at his earliest continence. PT observed for 30+ minutes with no recurrence of symptoms, denying pain, dizziness, or any other complaint. PT reassessed prior to leaving clinic. PT was A&Ox4, GCS 15, BP 122/76. PR 64, RR 16, Skins: Pink, warm, dry, PEARL-4mm. PT left facility at 11:32am accompanied by two acquaintances who also received vaccine .

Other Meds: Sestraline - anxiety

Current Illness: N/A

ID: 1290471
Sex: F
Age: 44
State: IL

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: Dizziness, Fatigue, Mobility decreased

Symptoms: pt experienced redness, throbbing pain at injection site. She also noted that the injection was given at a higher area than her previous dose. She took 1 tablet of APAP the evening of the vaccination. I recommended for her to use ice and continue with APAP as needed and will follow up with us

Other Meds: NONE

Current Illness: NONE

ID: 1290472
Sex: M
Age: 16
State: DC

Vax Date: 05/05/2021
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: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Moderna Vaccine administered to Patient who is still a minor. Pt monitored for 15 minutes, Pt reports no symptoms, no adverse reactions and is asymptomatic at the time of event.

Other Meds:

Current Illness:

ID: 1290473
Sex: F
Age: 30
State: NJ

Vax Date: 04/22/2021
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: Chills, Confusional state, Eye inflammation, Headache, Laboratory test

Symptoms: Sore arm last 3-4 days. Chills that lasted 7 hours

Other Meds: Acetaminophen

Current Illness: Covid-19

ID: 1290474
Sex: F
Age: 74
State: CA

Vax Date: 03/23/2021
Onset Date: 03/23/2021
Rec V Date: 05/05/2021
Hospital:

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

Lab Data:

Allergies: morphine, tobramycin, percodan, ibuprofen, sulfa drugs, dolobid, gabbroral/kiroll/oflaxacin/flagyl, ogen, accutane, tylenol with codeine, tramadol, rifaximin, hydrocodone, oxycodone, NSAIDs. Topical: betadine & iodine, gold, nickel, aloe vera, most cosmetics, adhesive, thimerosal/merthiolate in vaccines or eye drops. Foods: MSG, soy, shellfish, cabbage, vinegar, tomatoes, pineapple, citrus, broccoli & cauliflower. Airborne: animal hair & dander, dust, mold, tree & flower pollens, grasses, exhaust fumes, perfumes & scents.

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: 1st vaccine: 10 days of bad headaches & body aches, extreme nausea, and extreme fatigue - mild temperature first afternoon only. 2nd vaccine: 1st day was okay, 2nd-4th days extreme fatigue and mild nausea. Then I was fine!

Other Meds: Omega 3 fish oil, probiotics, digestive enzymes, calcium with magnesium, vitamin D3, multi-vitamins, L-lysine, psyllium, occasional melatonin

Current Illness: None, other than CFIDS (chronic fatigue and immune deficiency syndrome).

ID: 1290475
Sex: F
Age: 36
State: WA

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

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

Lab Data:

Allergies:

Symptom List: Pharyngeal swelling

Symptoms: Administered 0.5 mL of vaccine instead of 0.3 mL

Other Meds:

Current Illness:

ID: 1290476
Sex: M
Age: 15
State:

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

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

Lab Data:

Allergies:

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Patient got 2 doses of Pfizer (3 week interval) when patients was only 15 years of age.

Other Meds:

Current Illness:

ID: 1290477
Sex: F
Age: 34
State: OH

Vax Date: 05/02/2021
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: Penicillins

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Patient stated that she had a lump under the skin at injection site that was hot to the touch. She also stated that she had a fever. Pharmacist referred her to urgent care to seek medical attention.

Other Meds:

Current Illness:

ID: 1290478
Sex: M
Age: 16
State: IL

Vax Date: 04/19/2021
Onset Date: 04/21/2021
Rec V Date: 05/05/2021
Hospital:

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

Lab Data:

Allergies: peanuts, biaxin, azithromycin

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

Symptoms: final diagnosis: gastritis

Other Meds: Allegra Flovent

Current Illness: none

ID: 1290479
Sex: F
Age: 38
State: PA

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:

Symptom List: Rash, Urticaria

Symptoms: red itchy rash developed on 5/5/2021 from injection site to elbow

Other Meds:

Current Illness:

ID: 1290480
Sex: F
Age: 62
State: OH

Vax Date: 04/06/2021
Onset Date: 04/08/2021
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: Blood pressure decreased, Chest pain, Chills, Confusional state, Decreased appetite

Symptoms: Dizziness, fainting

Other Meds: Ferrous sulfate, levothyroxine amitriptyline, atorvastatin, vitamin D3, Trulicity, potassium citrate, myrbetriq, calcitriol humolog, carvedilol., hydrocodone-apap.

Current Illness: None

ID: 1290481
Sex: M
Age: 21
State: CA

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:

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

Symptoms: Client received the 1st dose of Pfizer COVID vaccine lot # EW0179 and expiration date 5/10/21 at 2:44pm. Client reports to vaccinator, that he feels dizzy. PHN walked over to assist. Client reports no medical history except COVID positive in December with mild symptoms. Client reports his last meal was breakfast. RN offered client water. Vital signs taken at 2:44pm blood pressure: 130/70, oxygen:100% and pulse: 69. Client reports he is also feeling tired. Client denies any other symptoms. At 2:51pm vitals were taken. Blood pressure: 125/70, oxygen: 99% and pulse 68. Client reports symptoms dizziness slightly improved. At 2:54pm client reports he is tired and has mild dizziness. Vitals are blood pressure:120/65, oxygen:99% and pulse:64. At 2:59pm client reports having cold hands and PHN called PHN to come evaluate client. Another set of vitals was taken blood pressure: 115/68, oxygen: 99% and pulse: 68. PHN educated client on worsening signs and symptoms and when to call EMS. Client verbalized understanding of education. Client reports he is getting a ride home by his sister. Client left facility unassisted with a steady gait at 3:20pm.

Other Meds:

Current Illness:

ID: 1290482
Sex: M
Age: 17
State:

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:

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

Symptoms: During his 15 minute observation period after receiving his second shot, patient felt ill and started turning pale. Pharmacy staff came to his side and gave him wet, cold compresses and water. He was feeling dizzy and clamy but never lost consciousness. The pharmacist could see that the patient was wearing a CGM. The patient was able to see his blood glucose levels on his receiver and they were high. We were able to rule out hypoglycemia. The patient threw up three times in the waste basket. After about 20-30 minutes he started feeling better.

Other Meds:

Current Illness:

ID: 1290483
Sex: M
Age: 17
State: CO

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

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

Lab Data:

Allergies:

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

Symptoms: 17 year old received two moderna vaccines.

Other Meds:

Current Illness:

ID: 1290484
Sex: F
Age: 40
State: OH

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:

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

Symptoms: Patient appeared pale moments after receiving the vaccine. She said she felt nauseous, hot and sweaty. I gave her a bottle of water, pretzels, and dum dum lollipop and she felt better and regained color by the time her 15 minute wait was up.

Other Meds:

Current Illness:

ID: 1290485
Sex: M
Age: 64
State: PA

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

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

Lab Data:

Allergies:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Racing thoughts, inability to concentrate, mood swings, confusion, severe insomnia, hyper activity, irritability, explosive anger, etc.

Other Meds:

Current Illness:

ID: 1290617
Sex: F
Age: 21
State: WA

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

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

Lab Data:

Allergies:

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Administered 0.5 mL of vaccine instead of 0.3 mL

Other Meds:

Current Illness:

ID: 1290618
Sex: F
Age: 35
State: NC

Vax Date: 01/29/2021
Onset Date: 01/30/2021
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: Blood pressure increased, Chest discomfort, Heart rate increased

Symptoms: Within 12 hrs. Pre- term contraction 1am and 6am Chills at 33 weeks and cervical soften and did not have any dilation, observed at labor and delivery in the hospital observation with hydration - IV fluids and monitored contractions for 10 hrs. Contractions was spaced out and their was not dilatation and the verified that she was not in pre-term labor so she was discharge. Followed up with doctor later contractions continued and received Beta Methasone 2 dose 34 weeks , to mature the baby lungs. Continued to monitor for 1 to 2 weeks continued contractions with no dilations.

Other Meds: Citalopram 30 mg, once a day, Baby Aspirin 81 mg once daily, Prenatal vitamin, Tums, and Famodine

Current Illness: No

ID: 1290619
Sex: M
Age: 34
State: IN

Vax Date: 04/29/2021
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:

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

Symptoms: Fever and muscle cramps lasting approximately six hours

Other Meds:

Current Illness:

ID: 1290620
Sex: F
Age: 27
State: ID

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: Unevaluable event

Symptoms: patient fainted several minutes after recieving vaccination, gave her cold packs, and orange juice. she seems completely recovered

Other Meds: unknown

Current Illness: none known

ID: 1290621
Sex: M
Age: 47
State: KS

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: NKA

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

Symptoms: Patient fainted after shot and hit his head on the floor. patient was transported to hospital.

Other Meds: NA

Current Illness: UNKNOWN

ID: 1290622
Sex: M
Age: 45
State: MA

Vax Date: 04/22/2021
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: OxyContin

Symptom List: Injection site pain, Pain

Symptoms: Lymph node on right side behind ear swelled up then entire right side of face and ear swelled up to the point I had water blisters on ear eye swollen shut and ear was so swollen couldn?t even put a Q tip in my ear nose swelled all up

Other Meds: Trazadone depakote buspar lamictal

Current Illness:

ID: 1290623
Sex: F
Age: 61
State: MN

Vax Date: 04/09/2021
Onset Date: 04/12/2021
Rec V Date: 05/05/2021
Hospital:

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

Lab Data:

Allergies: Augmentin

Symptom List: Injection site pain, Menorrhagia

Symptoms: Ringing in my ears (which I have had for many years at a LOW and TOLERABLE level - I would only occasionally notice it, maybe once or twice a month) became louder and impossible to tune out. I have had constant LOUD high pitched ringing in my ears DAILY for almost four weeks now, and it has not decreased in volume. I also have brain fog and am very forgetful (not a normal characteristic of me).

Other Meds: Zyrtec

Current Illness: None

ID: 1290624
Sex: M
Age: 63
State: CA

Vax Date: 03/16/2021
Onset Date: 03/16/2021
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: Arthralgia, Chills, Headache, Mobility decreased, Myalgia

Symptoms: -abnormal reaction to covid-19 vaccination, states having lip swelling, body swelling, red rash in upper extremities, itching, chest tightness that resolved at the end of the day. -had an adverse reaction to 1st covid vaccine, pfizer, had facial swelling, leg and arm swelling, resolved after 24 hours

Other Meds: 1) Atorvastatin 80mg Tablets (Atorvastatin calcium) .... Take 1 tablet by mouth daily; 2) Aspirin 81 Mg Oral Tablet Delayed Release (Aspirin) .... Take 1 tablet by mouth once a day; 3) Amlodipine Besylate 10 Mg Oral Tablet (Amlodipine be

Current Illness:

ID: 1290625
Sex: F
Age: 25
State: KS

Vax Date: 03/01/2021
Onset Date: 05/01/2021
Rec V Date: 05/05/2021
Hospital: Y

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

Lab Data:

Allergies: n/a

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Pt is 25 yo female who received the first dose of the Pfizer COVID-19 vaccine in March 2021 developed diffuse petechiae and oral bleeding approximately 3 weeks after the vaccine and went to her PCP's office and labwork revealed a platelet count of ~15k cells/mm3. She went to the emergency department at Medical Center and was diagnosed with ITP by a hematologist who recommended that she not receive the second covid vaccine given the risks outweigh the benefits with her new diagnosis/possible reaction to the vaccine. She was treated with IVIG and prescribed corticosteroids and discharged. Two weeks later she was visiting friends in another city and developed a severe headache. She presented to our facility and was found to have a subdural hematoma on imaging and a platelet count of 9k cells/mm3. She was aggressively treated for her ITP with high dose IVIG, romiplostim, and rituximab and has stabilized neurologically with the SDH stable - though her platelets have been treatment refractory despite transfusions and the aforementioned therapy. Remains admitted at our facility.

Other Meds: n/a

Current Illness: hyperthyroidism (uncontrolled), previous COVID-19 infection 12/20

ID: 1290626
Sex: M
Age: 61
State: GA

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: Hydrochorothiazide

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Swelling around the nose and eyes to the point of my eye swelling shut. Pain in that area with a palpable lump. The swelling has lasted for the last 2 days, but it is starting to go down.

Other Meds: Losarten Furosemide Potassium Allopurinol Ibuprofen Flomax

Current Illness: None

ID: 1290627
Sex: M
Age: 32
State: NY

Vax Date: 04/24/2021
Onset Date: 04/25/2021
Rec V Date: 05/05/2021
Hospital:

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

Lab Data:

Allergies: Shrimp

Symptom List: Headache, Heart rate increased, Injection site erythema, Injection site pain, Injection site swelling

Symptoms: Severe worsening of tinnitus (ringing in the ear)

Other Meds: Turmeric

Current Illness:

ID: 1290628
Sex: F
Age: 39
State: NM

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: penicillin

Symptom List: Nausea

Symptoms: Patient monitored for 15 minutes following injection with no side effects. Patient call an hour following injection stating that she had "sweaty palms" and that her "heart is racing and I feel like I am going to pass out". Patient urged to come into urgent care to be evaluated. Patient was evaluated by provider and was discharged home.

Other Meds: Levetiracetam, hydroxychloroquine sulfate, Aspirin, hydroxyzine HCL, oxcarbazepine, multivitamin, ibprophen

Current Illness: None

ID: 1290629
Sex: F
Age: 49
State: MA

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: Injection site pain

Symptoms: Janssen COVID -19 Vaccine EUA Headache, extremely tired, burning up & chills off and on all night, muscle aches. Lasted about 24 hours.

Other Meds:

Current Illness:

ID: 1290630
Sex: F
Age: 43
State: PA

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: Seafood, hay fever, lotions

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

Symptoms: Itchy palms and mouth started 1 hour post injection. Stomach pain/nausea/burning started 3 hours post injection. Still the same the day after.

Other Meds:

Current Illness:

ID: 1290631
Sex: M
Age: 41
State: WA

Vax Date: 04/29/2021
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: Sulfa meds (from childhood allergic reaction)

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

Symptoms: First day after vaccine (4/30/21): 102 fever, chills, severe nausea, vomiting, aches, migraine-like headache pain, malaise, and fatigue (took Tylenol with minimal effect). Second day after vaccine (5/1/21): aches, shakiness, fatigue, mild nausea, medium-intensity headache, diarrhea, malaise (took Tylenol, which helped with headache pain). Third day after vaccine (5/2/21): aches, mild nausea, shakiness, mild fatigue, mild headache, and mild malaise. Fourth day after vaccine (5/3/21): mild nausea, shakiness, mild headache, and mild fatigue. Fifth day after vaccine (5/4/21): mild nausea, mild headache. Sixth day after vaccine (today 5/5/21): mild nausea, mild headache.

Other Meds: Lexapro 5 mg; Vitamin D; Vitamin B; Chromium supplement

Current Illness: None

ID: 1290632
Sex: F
Age: 31
State: GA

Vax Date: 04/21/2021
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: Tremor

Symptoms: Diarrhea, nausea, light headed

Other Meds: Ortho-Tricyclin

Current Illness:

ID: 1290633
Sex: M
Age: 16
State: CA

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:

Symptom List: Erythema, Pruritus

Symptoms: PT FELL TO THE FLOOR, DID NOT HIT HIS HEAD, THEN PT REGAINED CONSCIOUS. DID NOT EAT LUNCH PRIOR, VSS, REFUSED TRANSPORT.

Other Meds:

Current Illness:

ID: 1290634
Sex: M
Age: 38
State: MO

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: sulfa: rash

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

Symptoms: Pt felt dizzy/clammy just after receiving vaccine. His wife said this is a usual reaction for him as he doesn't like needles. Had similar response w birth of his children. He laid on floor, we applied cold compress and gave cold bottle of water. Symtoms improved in just several minutes. He continue rest of wait period and felt fine before leaving pharmacy.

Other Meds: unknown

Current Illness: none/unknown

ID: 1290635
Sex: F
Age: 52
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: Cough, Limb discomfort, Pain, SARS-CoV-2 test positive

Symptoms: Immediately upon receiving the shot I started to have a headache and pain in my eyes. My eyes became light sensitive and I have a heightened ability to smell for the rest of the day. I awoke in the middle of the night with a fever, severe muscle and joint pain, splitting headache, tinnitus, skin sensitivity, neuralgia and a VERY sore vaccine site. My fever persisted for 60 hours and did not exceed 101.99. This morning my nerve pained flared in my jaw, tongue, mouth, throat and rib cage. I felt a very painful burning sensation similar to heartburn. I had a very similar reaction with the first shot except I did not have a fever and the symptoms did not last as long as with the second shot.

Other Meds: Vit.A,B,C,D,E;American Ginseng;Milk Thistle;N.A.C;Quercetin,

Current Illness:

ID: 1290636
Sex: F
Age: 42
State: GA

Vax Date: 04/29/2021
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: Pencillins

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: cough, runny nose, bilateral ear pain, body aches, generalized rash, sore throat

Other Meds: Lorsartan/HCLZ

Current Illness: Covid negative April 23, 2021/ Covid positive Dec 2020

ID: 1290637
Sex: F
Age: 22
State: MD

Vax Date: 04/29/2021
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: Severe allergy to peanuts and treenuts.

Symptom List: Injection site erythema, Injection site pain, Injection site swelling

Symptoms: Chest pain, started 04/29/2021, managed with rest and OTC pain reliever, ended 05/02/2021. Panic attacks, started 04/30/2021, managed with Valium, ended 05/04/2021 Suicidal ideation, experienced with both doses. Dose 1, started 04/01/2021, ended 04/11/2021. Dose 2, started 04/30/2021, ended 05/04/2021

Other Meds: Prozac Limictal Trazadone Vitamin D3 Concerta

Current Illness: Fibromyalgia Depression Anxiety ADHD

ID: 1290639
Sex: M
Age: 34
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: Chills, Feeling cold, Feeling hot, Myalgia, Pain

Symptoms: Patient was given vaccine at 21 days from the first dose NOT 28 days from the first dose. Patient stated he has not had any adverse reactions. He stated he feels fine and is out doing chores and enjoying the nice weather.

Other Meds: UNKNOWN

Current Illness: NONE

ID: 1290640
Sex: F
Age: 52
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: Pain in extremity

Symptoms: Immediately upon receiving the shot I started to have a headache and pain in my eyes. My eyes became light sensitive and I have a heightened ability to smell for the rest of the day. I awoke in the middle of the night with a fever, severe muscle and joint pain, splitting headache, tinnitus, skin sensitivity, neuralgia and a VERY sore vaccine site. My fever persisted for 60 hours and did not exceed 101.99. This morning my nerve pained flared in my jaw, tongue, mouth, throat and rib cage. I felt a very painful burning sensation similar to heartburn. I had a very similar reaction with the first shot except I did not have a fever and the symptoms did not last as long as with the second shot.

Other Meds: Vit.A,B,C,D,E;American Ginseng;Milk Thistle;N.A.C;Quercetin,

Current Illness:

ID: 1290641
Sex: F
Age: 58
State: CA

Vax Date: 04/29/2021
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: codene

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

Symptoms: I had an extreme hypoglycemic episode within 48-hours of receiving the COVID-19 vaccine which resulted in my being transported to the hospital by ambulance.

Other Meds: Tujeo insulin, humalog insulin

Current Illness: N/A

ID: 1290642
Sex: F
Age: 31
State:

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:

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

Symptoms: Intermittent muscle twitch in left arm and hand, persisting for 2 days, easing in severity over time. Also minor headache and fatigue.

Other Meds:

Current Illness:

ID: 1290643
Sex: F
Age: 53
State: CA

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:

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

Symptoms: Extreme chills, nausea. headache, fever, aches and pains, aggravated pinched nerve discomfort at neck, shoulder and down right arm

Other Meds:

Current Illness:

ID: 1290644
Sex: M
Age: 16
State: CA

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:

Symptom List: Vomiting

Symptoms: PT FELL DOWN, THEN REGAINED CONSCIOUS, VSS, DID NOT EAT PRIOR, REFUSED TRANSPORT. DRIVEN HOME BY DAD.

Other Meds:

Current Illness:

ID: 1290645
Sex: M
Age: 63
State: AZ

Vax Date: 01/28/2021
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: Fentanyl - Cardiac arrest, respiratory arrest

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Patient reported soreness after 1st day of vaccination which went away within 24 hours. However, several after weeks after vaccination patient developed soreness at the injection site with a raised bump and redness surrounding the area on 4/28. There was no associated weakness in the arm except due to pain which prevented him from lifting his arm. The patient experienced diarrhea for about a week prior. He did not see a doctor for this and attributed this to a viral illness. The soreness and swelling resolved after 4 days. The patient reported the reaction on 4/28. He was given a prescription for PT, but as it resolved by the time of his appointment, he did not see PT. The patient reports that the injection was high on his shoulder, about 2.5 fingerwidths below the joint. He denies experiencing joint pain.

Other Meds: None

Current Illness:

ID: 1290646
Sex: F
Age: 14
State: CA

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: N/A

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

Symptoms: No adverse reaction. Reason for this report is the family falsified the minor's birthdate in the Vaccination System, My Turn. Vaccination age was restricted to 16 and over at the time of vaccination. By falsifying the minors birthday by 2 years, the family allowed 14 year old to receive vaccination. This report is to make the system aware of the fraudulent activity.

Other Meds: N/A

Current Illness: N/A

ID: 1290647
Sex: M
Age: 34
State: CO

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:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Patient came in for a flu vaccine, and received a covid-19 vaccine. Patient had 2 doses in series and this would be the third given.

Other Meds:

Current Illness:

ID: 1290648
Sex: M
Age: 57
State: NC

Vax Date: 04/26/2021
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: Chills, Diarrhoea, Fatigue, Feeling abnormal, Headache

Symptoms: Broke out in hives/rash on the front of my neck. It was itchy and I treated it with Hydrocortizone. This initially started on 05/03/2021 and as of today, 05/05/2021 the hives are still present. On the date of the 2nd vacination i felt totally exhausted and felt like I hit a wall withing 4 hours of receiving he 2nd vaccine. This reaction was more pronounced than after the 1st vaccine. This went on for 3 days. I am still experiencing being very tired. I also had a metalilc taste in my mouth on the first day after the 2nd vaccine that lasted for a week.

Other Meds:

Current Illness:

ID: 1290649
Sex: M
Age: 59
State: CA

Vax Date: 04/01/2021
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:

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

Symptoms: Approximately one week after vaccine symptoms began; Severe Abdominal Pain & Shortness of Breath

Other Meds: Metformin, Gabapentin, Alogliptin, Steglatro, Atorvastatin, Lisinopril

Current Illness:

Total 2021 VAERS Injuries: 704,237

Page last modified: 26 October 2021 2:21am