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: 1306614
Sex: M
Age: 49
State: FL

Vax Date: 04/27/2021
Onset Date: 05/11/2021
Rec V Date: 05/11/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: huge red mark around injection site - 4 inches diameter

Other Meds: atorvastatin, metformin, Certirizine Hydrochloride

Current Illness: none

ID: 1306615
Sex: F
Age: 54
State: IN

Vax Date: 03/18/2021
Onset Date: 04/10/2021
Rec V Date: 05/11/2021
Hospital:

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

Lab Data:

Allergies: Prednisone

Symptom List:

Symptoms: 3 weeks after 1st vaccine starting 4/10/21, I developed weird and painful swelling, bright red with blisters on my right baby toe. Saw a Dr. podiatrist on 4/15/21. He hadn't seen anything like this...but treated it as a staph infection and put me on Sulfamethoxaz-ole-tmp DS for ten days. ( I received 2nd injection COVID vaccine on 4/13/2012)... I needed to fly out of state 4/19/2012 for a family issue ..toe wasn't improving. could not wear enclosed shoe on that foot, swelling on toe so bad that it caused the skin to spit open in several sites and small area of black was at the top of toe from blood. I saw a dermatologist on 4/20/2021 Dr. Solis in Westerly RI and he felt that the antibiotic was doing its job. The blisters had disappeared and even tho still very swollen it was starting to heal. Recommended finishing up the antibiotic that Dr had put me on. It slowly improved and by 4/30/2021 was much better but never completely returned to normal. On 5/7/2021 it came back again..blisters, red and swollen. Saw Dr. on 5/10

Other Meds: Zyrtex, aller-flo nasal spray daily advil occasionally Prilosec occasionally

Current Illness: None

ID: 1306616
Sex: F
Age: 33
State: TX

Vax Date: 05/05/2021
Onset Date: 05/07/2021
Rec V Date: 05/11/2021
Hospital:

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

Lab Data:

Allergies: Apple, seafoods

Symptom List:

Symptoms: Sore throat, cough, headache, sore arm, pounding heart beat

Other Meds: Low-dose aspirin, Flonase, Zyrtec, Emergency , systane PF, Pataday

Current Illness:

ID: 1306617
Sex: F
Age: 84
State: PA

Vax Date: 03/28/2021
Onset Date: 04/09/2021
Rec V Date: 05/11/2021
Hospital:

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

Lab Data:

Allergies: LisinoprilCoughing PrednisoneDizziness / Lightheaded

Symptom List:

Symptoms: Cough Shortness of Breath

Other Meds: atorvastatin (LIPITOR) 10 mg tablet betamethasone dipropionate (DIPROLENE) 0.05 % ointment betamethasone, augmented, (DIPROLENE) 0.05 % ointment CONTOUR NEXT TEST STRIPS strip diclofenac (VOLTAREN) 75 mg EC tablet dulaglutide (TRULICITY) 3

Current Illness: Type 2 diabetes

ID: 1306618
Sex: F
Age: 34
State: GA

Vax Date: 04/02/2021
Onset Date: 04/09/2021
Rec V Date: 05/11/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: No previous history of Miscarriage, one successful pregnancy. The estimated date of delivery was November 3rd, 2021. Miscarried 1 week after first covid vaccine. Ultrasound with strong heartbeat completed 4 days prior to Moderna vaccine.

Other Meds: Prenatal Vitamins, Progestrone In oil, Estrace

Current Illness: None

ID: 1306619
Sex: M
Age: 68
State: NC

Vax Date: 04/08/2021
Onset Date: 04/30/2021
Rec V Date: 05/11/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List:

Symptoms: Extreme pain to arm Swollen at vaccine spot Pain radiates to neck and shoulder blade Cannot lay on arm Began 22 days after vaccine

Other Meds: Losartan Hydrochlorothiazide

Current Illness: No

ID: 1306620
Sex: F
Age: 15
State: VA

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Pt/guardian wrote on screening form "16" as age and "20050928" for birthday. After vaccination, it was discovered that the pt is 15 years old, not 16.

Other Meds:

Current Illness:

ID: 1306621
Sex: F
Age: 35
State: NJ

Vax Date: 04/15/2021
Onset Date: 04/15/2021
Rec V Date: 05/11/2021
Hospital:

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

Lab Data:

Allergies: penicillin, ceclor, iodine

Symptom List:

Symptoms: slight pain with the first shot but that gently faded but was still noticeable. After the second shot I had a decent amount of pain in my shoulder that progressively became worse with loss of strength and loss of motion. On the morning of 05/11/21 the pain was so bad it woke me from my sleep and scared me so much I have decided to call my orthopedic. My first orthopedic appt is on 05/13/21.

Other Meds: birth control

Current Illness: none

ID: 1306622
Sex: M
Age: 64
State: NY

Vax Date: 05/10/2021
Onset Date: 05/11/2021
Rec V Date: 05/11/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: fever, body aches

Other Meds: Losartan, Atorvastatin

Current Illness:

ID: 1306623
Sex: F
Age: 35
State: GA

Vax Date: 04/22/2021
Onset Date: 05/06/2021
Rec V Date: 05/11/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

Symptom List:

Symptoms: Hormonal changes. Severe PMS, cystic acne, and menstruation began 2 weeks early in my cycle that is never off.

Other Meds: D3, escitalopram 10 mg, spirolactone 100mg

Current Illness: None

ID: 1306624
Sex: M
Age: 17
State: PA

Vax Date: 05/10/2021
Onset Date: 05/10/2021
Rec V Date: 05/11/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient made an appointment through the scheduler and was vaccinated at 17 years old. He was 23 days shy of his 18th birthday.

Other Meds:

Current Illness:

ID: 1306625
Sex: M
Age: 57
State: IN

Vax Date: 05/07/2021
Onset Date: 05/08/2021
Rec V Date: 05/11/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Fatigue, muscle aches, dizzy, chills, slight fever.

Other Meds: Gabapentin, metopeolol, Lipitor, bupropion, Claritin, fenofibate, calcium

Current Illness: None

ID: 1306626
Sex: F
Age: 32
State: MO

Vax Date: 05/10/2021
Onset Date: 05/10/2021
Rec V Date: 05/11/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Red spot appeared on back of tongue. No pain or loss of taste associated with it. Tongue just looks smooth in that area.

Other Meds: Mylan (oral birth control)

Current Illness: None

ID: 1306627
Sex: F
Age: 62
State: PA

Vax Date: 04/22/2021
Onset Date: 05/03/2021
Rec V Date: 05/11/2021
Hospital:

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

Lab Data:

Allergies: Sulfa suspected

Symptom List:

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA. Still being treated for symptoms one week later. Blanchable red rash on right neck, right shoulder, right & left chest 11 days after vaccination 5/3/21. Sensitive to sun. Originally thought it might be sun burn since I had been working out in garden several days, but I don't usually burn and it did not appear on all exposed areas of body (e.g. not on face, left shoulder, or arms). Then small red bumps appeared on right and left belly and upper thighs 12 1/2 days after vaccination 5/4/21. I was out of town when this happened. Visited Urgent Care on 5/5/21 - Not sunburn because blanchable and systemic. "Adverse effect of unspecified drugs, medicaments, and biological substances." Immediately given steroid shot in butt, then put on 10 mg Prednisone (2 dys 5, 4, 3, 2, 1, 1/2 tabs for total quantity 31). Also over-the-counter Benedryl, Domboro Solution, and Hydrocortison Cream (1%) for rash. Before starting Prednisone, contacted primary care physician at to confirm this was correct course of action. Still being treated but rash is getting better.

Other Meds: Daily: 10 MG Lisinopril, 4000 IU Vitamin D3, One-a-Day Multi Vitamins, CVS Airshield, Systane (propylene glycol) Every three days: Bayer Low Dose Aspirin, 1000 mg Fish Oil Once or twice over 11 day period: 40 mg Omeprazole

Current Illness:

ID: 1306628
Sex: M
Age: 65
State: NY

Vax Date: 04/23/2021
Onset Date: 05/07/2021
Rec V Date: 05/11/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Reported 2 weeks of lower extremity pain, incidentally found on venous duplex to have bilateral arterial clots, vascular surgery consulted for management.

Other Meds:

Current Illness:

ID: 1306629
Sex: F
Age: 36
State: VT

Vax Date: 04/23/2021
Onset Date: 04/30/2021
Rec V Date: 05/11/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: Itchy, bumpy rash showed up 8 days later in the area of the injection site. Rash lasted for 4-5 days. Approximately 4 inches by 2.5 inches in a rough circle. According to CDC website it is called 'COVID arm'.

Other Meds: women's multivitamin Garden of Life - Dr. Formulated Probiotic - once Daily Women's

Current Illness: n/a

ID: 1306630
Sex: F
Age: 35
State: MA

Vax Date: 05/06/2021
Onset Date: 05/06/2021
Rec V Date: 05/11/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Several minutes after patient receiving pfizer vaccine. Patient became nauseated, vomited, experienced clamminess and near syncopal episode but asked for help when started feeling bad. Patient removed from main observation room to one on one monitoring. Patient rested and ate. Patient did not need further intervention. Vital signs stable. Patient picked up by boyfriend and driven home.

Other Meds:

Current Illness:

ID: 1306631
Sex: F
Age: 49
State: IN

Vax Date: 04/22/2021
Onset Date: 04/24/2021
Rec V Date: 05/11/2021
Hospital:

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

Lab Data:

Allergies: Sulpha

Symptom List:

Symptoms: Since 2 days after the shot, I have been very tired and worn down. Period chills, lower back pain, headache, exhausted. Not feeling like I normally do. Symptoms not being better. Getting worse and will contact doctor. I am a very active individual with no major health issues.

Other Meds: Meloxicam

Current Illness: None

ID: 1306633
Sex: F
Age: 63
State: CA

Vax Date: 05/01/2021
Onset Date: 05/02/2021
Rec V Date: 05/11/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Pain in right leg lasting 8 days and skin postules (also on right leg) that are not yet healed.

Other Meds: Simvastatin, Levothyroxine, Losarten, Advair, Vitamin D, Vitamin B (super B complex) and Querciten

Current Illness: none

ID: 1306634
Sex: F
Age: 47
State: AR

Vax Date: 05/03/2021
Onset Date: 05/10/2021
Rec V Date: 05/11/2021
Hospital:

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

Lab Data:

Allergies: Sulfa drugs

Symptom List:

Symptoms: "Covid arm" round, red, rash and itching at injection site

Other Meds: None

Current Illness: None

ID: 1306635
Sex: F
Age: 54
State: FL

Vax Date: 05/08/2021
Onset Date: 05/09/2021
Rec V Date: 05/11/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: Fever over 102 Headache Body aches Fatigue

Other Meds:

Current Illness: None

ID: 1306636
Sex: F
Age: 41
State: PA

Vax Date: 04/30/2021
Onset Date: 05/08/2021
Rec V Date: 05/11/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: pharmacist reported on behalf of patient 8 days post 1st moderna shot a rash at site of injection with itching and a lump. The lump resolved and pt took benadryl and applied anti itch cream. pt reported "less itchy"

Other Meds:

Current Illness:

ID: 1306637
Sex: M
Age: 69
State: PA

Vax Date: 03/27/2021
Onset Date: 04/01/2021
Rec V Date: 05/11/2021
Hospital: Y

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

Lab Data:

Allergies: EnalaprilCoughing GlipizideOther (document details in comments) MetforminRash

Symptom List:

Symptoms: COVID-19 virus infection dyspnea on exertion that started 5 days ago that has progressed to him feeling short of breath even at rest Headache chest pressure

Other Meds: albuterol HFA (PROVENTIL;VENTOLIN) 90 mcg/actuation inhaler apixaban (ELIQUIS) 5 mg tablet atorvastatin (LIPITOR) 40 mg tablet betamethasone dipropionate 0.05 % lotion CLOBETASOL PROPIONATE, BULK, MISC losartan (COZAAR) 100 mg tablet miscel

Current Illness: Hyperlipemia Hypertension Obstructive sleep apnea Type 2 diabetes mellitus without complication (CMS/HCC) Paroxysmal atrial fibrillation (CMS/HCC)

ID: 1306638
Sex: F
Age: 46
State: MN

Vax Date: 04/01/2021
Onset Date: 04/15/2021
Rec V Date: 05/11/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient presented to the ED and was subsequently hospitalized within 6 weeks of receiving COVID vaccination. Diagnosis was status epilepticus. She was then hospitalized for rehab services for 4 days.

Other Meds:

Current Illness:

ID: 1306639
Sex: F
Age: 60
State: NY

Vax Date: 04/14/2021
Onset Date: 05/04/2021
Rec V Date: 05/11/2021
Hospital:

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

Lab Data:

Allergies: Latex & Eggplants

Symptom List:

Symptoms: Asthma with asthmaticus/SOB Intabation/2 days in ICU/1 day tele Left Heart Cardiac cath

Other Meds: Metropol 25mg & Ventolin Inhaler

Current Illness: None

ID: 1306640
Sex: F
Age: 58
State: CT

Vax Date: 03/03/2021
Onset Date: 03/05/2021
Rec V Date: 05/11/2021
Hospital:

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

Lab Data:

Allergies: Cherry, Latex, Sulfa, Naproxen, Adhesive tape-silicone

Symptom List:

Symptoms: Patient had first vaccination on 3/3/21 and developed diffuse body rash on 3/5/21 which again flared after second shot and persists.

Other Meds: Farxiga, Atorvastatin, Famotidine, Losartan, Lantus, Voltaren

Current Illness:

ID: 1306641
Sex: M
Age: 0
State: PA

Vax Date: 04/22/2021
Onset Date: 04/22/2021
Rec V Date: 05/11/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: There are no adverse reactions but the PA gave 6 month vaccines instead of 12 month vaccines. We will catch the child up on MMR and Varicella at his 15 month appointment.

Other Meds: None

Current Illness: None

ID: 1306642
Sex: M
Age: 18
State: IL

Vax Date: 05/07/2021
Onset Date: 05/08/2021
Rec V Date: 05/11/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Vomiting for several hours and bad headache

Other Meds: Fluoxetine, Amitripyline, Oxcarbazepin, Fiber, Magnesium, Vitamin B, CoQ10

Current Illness: Cyclic Vomiting Syndrome

ID: 1306643
Sex: F
Age: 67
State: GA

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 05/11/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient and I spoke on May 7th, 2021. Her contact information was referred to me by one of the Call Center staff members. Patient reported that she received her first COVID-19 vaccine (Pfizer) on 2/17/2021 at Health Department. She reports that she is typically "fine with shots, no problem", but when she received her first dose of the Pfizer vaccine "it immediately started hurting". She reported taking round the clock Advil/Motrin and "could feel a knot and radiating into crease of arm". She reported difficulty raising arm to put bra on and awaiting in the middle of the night due to pain. She stated she presented 21 days later for her 2nd dose (3/10/21- right arm) and still had persistent pain in left arm. She stated she has seen a surgeon due to the pain and that they x-ray was negative. She states the surgeon told her that a nerve was affected and gave her a shot of steroids. She reports this has not resolved the pain and that she is taking diclofenac 75 mg BID with pain unresolved. States she has a f/u appt with provider 5/27/21 and will keep appointment.

Other Meds:

Current Illness:

ID: 1306644
Sex: F
Age: 74
State: ME

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

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: chills, fatigue, body aches, massive headache; symptoms came in about 14 hour after injection and lasted 24 hours total. took one Tylenol for the headache and slept most of Saturday. on 2/18/2021 while at work I experienced tinnitus of the left ear. I had no prior experience with that. I was experiencing echoing when I answered the company phone and had difficulty distinguishing the clients question from the echo of my response and his question.

Other Meds: none

Current Illness: none

ID: 1306645
Sex: F
Age: 48
State: GA

Vax Date: 03/19/2021
Onset Date: 03/26/2021
Rec V Date: 05/11/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Chest Pains Shortage of breath Fast heart rate weak elevated blood pressure

Other Meds: n/a

Current Illness:

ID: 1306646
Sex: F
Age: 29
State: MN

Vax Date: 05/06/2021
Onset Date: 05/07/2021
Rec V Date: 05/11/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: SWOLLEN LYMPH NODE IN LEFT SHOULDER NEAR NECK STARTED THE DAY AFTER VACCINATION AND HAS PERSISTED YET IMPROVED SINCE 5-7

Other Meds:

Current Illness:

ID: 1306647
Sex: F
Age: 42
State: WI

Vax Date: 04/01/2021
Onset Date: 05/11/2021
Rec V Date: 05/11/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Menstrual irregularities. Crushing PMS even though I take hormonal cream every month that manages it. Menustration came a full week early and very heavy.

Other Meds:

Current Illness:

ID: 1306648
Sex: F
Age: 35
State: IN

Vax Date: 05/01/2021
Onset Date: 05/10/2021
Rec V Date: 05/11/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Red, bumpy rash on left arm from shoulder to midway down the upper arm; itchy

Other Meds: Humira, tri-lo-marzia

Current Illness:

ID: 1306649
Sex: M
Age: 58
State: MA

Vax Date: 04/30/2021
Onset Date: 05/06/2021
Rec V Date: 05/11/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: I noticed a mild itch at the injection site on May 6th. I do not recall the time. There is a red area about 2-1/2" in diameter. It appears to be "covid arm." I had not looked at the injection site since the injection, so I do not know if it was red prior to May 6th. I took oral benedryl for one day, but stopped due to the drowsiness. I still have a mild red patch, but no itch as of the time of this report. (9am May 11,2021.) My vaccine card reads "Moderna 005C21A" next to first dose. My second dose is scheduled for June 1st.

Other Meds:

Current Illness:

ID: 1306650
Sex: M
Age: 27
State: PA

Vax Date: 03/27/2021
Onset Date: 03/28/2021
Rec V Date: 05/11/2021
Hospital:

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

Lab Data:

Allergies: No Known Allergies

Symptom List:

Symptoms: slight fever, cough, runny nose and congestion

Other Meds: buPROPion SR (WELLBUTRIN SR) 200 mg 12 hr tablet dicyclomine (BENTYL) 10 mg capsule lamoTRIgine (LaMICtal) 200 mg tablet loratadine (CLARITIN) 10 mg tablet omeprazole (PriLOSEC) 40 mg capsule

Current Illness: None

ID: 1306651
Sex: F
Age: 65
State: FL

Vax Date: 05/10/2021
Onset Date: 05/10/2021
Rec V Date: 05/11/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: Patient felt SOB and chest tightness. Patient was given 4 tablets of Aspirin 81 MG as told by EMS and once they arrived they took patient away.

Other Meds: N/A

Current Illness: unknown

ID: 1306652
Sex: F
Age: 30
State: FL

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

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: A minute after receiving the vaccine patient complained of shortness of breath and chest tightness, called EMT and per dispatcher instructions gave her a dose of EpiPen, when EMT arrived all vitals were within normal range but still complaining with same symptoms, according to them, patient was experiencing a panic attack, no need to take her to the hospital, they stayed with her for approximately 15 minutes and then send her home. I follow up an hour later and patient was feeling good .

Other Meds: none

Current Illness: none

ID: 1306653
Sex: F
Age: 40
State: MA

Vax Date: 05/02/2021
Onset Date: 05/05/2021
Rec V Date: 05/11/2021
Hospital:

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

Lab Data:

Allergies: Seasonal allergies to trees and weeds, dust, mold. Ibuprofen

Symptom List:

Symptoms: rash on legs from hip through mid calf. Both sides. Onset was roughly 4-5 days after first vaccine shot.

Other Meds: carvedilol, potassium ER, nifedipine ER, Chlorthalidone, multivitamin, alpha lipoic acid, n-acytl cystine, coq10, melatonin, follate

Current Illness: seasonal allergies

ID: 1306654
Sex: F
Age: 51
State: NJ

Vax Date: 04/30/2021
Onset Date: 05/08/2021
Rec V Date: 05/11/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: 5/8 Large red, swollen, hard welt. Painful to the touch and minor pain when left alone. A little larger than a deck of cards. On 5/9 and 5/10 it became itchy. I took Benadryl and used a cool compress. Today, 5/11, it's less swollen and hard, it seems to be improving.

Other Meds: Albuterol HFA, Singulair, Breo

Current Illness:

ID: 1306655
Sex: F
Age: 0
State: IN

Vax Date: 12/02/2020
Onset Date: 12/02/2020
Rec V Date: 05/11/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient had previously received two doses of HIB PRP-OMP. Patient did not need 3rd dose of HIB on 12/2/2020. Dose was given in error.

Other Meds:

Current Illness:

ID: 1306656
Sex: M
Age: 30
State:

Vax Date: 05/10/2021
Onset Date: 05/10/2021
Rec V Date: 05/11/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Nursing attempted to vaccinate patient, but dull needle and did not penetrate skin. A new vaccine was administered.

Other Meds:

Current Illness:

ID: 1306657
Sex: M
Age: 47
State: PA

Vax Date: 03/27/2021
Onset Date: 04/02/2021
Rec V Date: 05/11/2021
Hospital:

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

Lab Data:

Allergies: No Known Allergies

Symptom List:

Symptoms: cough, headache, fever and generalized body aches.

Other Meds: albuterol 2.5 mg /3 mL (0.083 %) nebulizer solution atorvastatin (LIPITOR) 10 mg tablet buPROPion XL (WELLBUTRIN XL) 150 mg 24 hr tablet buPROPion XL (WELLBUTRIN XL) 150 mg 24 hr tablet citalopram (CeleXA) 20 mg tablet fluticasone furoate (

Current Illness: None

ID: 1306658
Sex: M
Age: 21
State:

Vax Date: 03/17/2021
Onset Date: 03/22/2021
Rec V Date: 05/11/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient presented to the ED and was subsequently hospitalized within 6 weeks of receiving COVID vaccination.

Other Meds:

Current Illness:

ID: 1306659
Sex: F
Age: 15
State: VA

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Pt received vaccine at 15 years old. Parent counseled.

Other Meds:

Current Illness:

ID: 1306660
Sex: F
Age: 27
State:

Vax Date: 04/05/2021
Onset Date: 04/21/2021
Rec V Date: 05/11/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Changes in menstrual cycle. Extreme and unbearable cramps and heavy bleeding. Hot flashes during period as well.

Other Meds: Lo Lo Estrin Fe

Current Illness:

ID: 1306661
Sex: F
Age: 66
State: FL

Vax Date: 03/23/2021
Onset Date: 03/24/2021
Rec V Date: 05/11/2021
Hospital:

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

Lab Data:

Allergies: Augmentin, avelox, biaxin, cyclorama, doxycycline, sulfa antibiotics

Symptom List:

Symptoms: Severe sinus congestion

Other Meds: Simvastatin 40mg, lisinopril 20mg, metoprolol25 mg twice a day, metformin twice a day, multivitamin, Allegra, Prilosec, glucosamine condroitin, Tylenol 8 hour twice a day, vitamin E 400mg

Current Illness:

ID: 1306662
Sex: M
Age: 26
State: PA

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

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

Lab Data:

Allergies: Vicodin

Symptom List:

Symptoms: Onset of lightheadedness, sweaty and nausea. Non-syncopal event that was self-limiting. Vital signs stable throughout. No orthostasis. Mild vasovagal event.

Other Meds: Zoloft

Current Illness:

ID: 1306663
Sex: M
Age: 46
State: FL

Vax Date: 05/05/2021
Onset Date: 05/06/2021
Rec V Date: 05/11/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Loss of smell. Patient is able to smell if something has a very strong odor to it.

Other Meds:

Current Illness:

ID: 1306664
Sex: F
Age: 52
State: FL

Vax Date: 04/13/2021
Onset Date: 04/24/2021
Rec V Date: 05/11/2021
Hospital:

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

Lab Data:

Allergies: Finofibrate

Symptom List:

Symptoms: April 24th I got a detached retinia and 2 small tears in my right eye after having the 1st does. I Had to have emergency inpatient eye surgery to repair it all. April 26th 2021. They froze 2 tears and put a gas bubble in my eye.

Other Meds: Multi vitamins, premarin, busiprone, Zyrtec and calcium.

Current Illness: None

Total 2021 VAERS Injuries: 599,999

Page last modified: 03 October 2021 5:28pm