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: 1316876
Sex: M
Age: 84
State: IN

Vax Date: 05/11/2021
Onset Date: 05/12/2021
Rec V Date: 05/14/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Lose of Appetite, Weakness, no desire to do anything for about 24 hrs.

Other Meds: Levothyroxine Hydrochlorothiazide; Multivitamin

Current Illness: None

ID: 1316877
Sex: F
Age: 38
State: IN

Vax Date: 05/12/2021
Onset Date: 05/12/2021
Rec V Date: 05/14/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Chills, extreme fatigue, vomiting, loss of appetite

Other Meds:

Current Illness:

ID: 1316878
Sex: F
Age: 49
State: FL

Vax Date: 05/05/2021
Onset Date: 05/06/2021
Rec V Date: 05/14/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Lump under left armpit, headache, tiredness and body aches.

Other Meds: Tegretol,lexapro,keppra, Lisinopril,avistatin, amlodipine,

Current Illness: None

ID: 1316879
Sex: M
Age: 48
State: OH

Vax Date: 04/20/2021
Onset Date: 04/28/2021
Rec V Date: 05/14/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Approximately 9 days after the vaccine, I began to experience mild fatigue. This became worse. I showed signs of a fever, but I did not have one. Symptoms were: hot/cold flashes, sweating through clothes, loss of appetite, headache and fatigue. On 5/3, I went to the local urgent care and got a rapid COVID test, which came back negative. My symptoms have slowly started to get better, except for the extreme fatigue I constantly feel. I have very little energy and continue to experience it to this day 5/14/21. My second vaccine is schedule for 5/18/21. I sent a request to my primary care physician to see if I should have some bloodwork done.

Other Meds:

Current Illness:

ID: 1316880
Sex: F
Age: 49
State: OH

Vax Date: 09/19/2020
Onset Date: 09/19/2020
Rec V Date: 05/14/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: More intense pain at shot site than in previous experiences with the ful shot. Within 24 hours stiffness of the arm began. I was struggling to lift the arm to reach things above my shoulder. The next night I began having trouble sleeping due to pain. The stiffness and pain increased as the days went on. I tried over the counter Tylenol, ice packs, rest, but the pain continued and the arm became stiffer as the days went on.

Other Meds: None

Current Illness: None

ID: 1316881
Sex: F
Age: 56
State: NJ

Vax Date: 04/20/2021
Onset Date: 04/21/2021
Rec V Date: 05/14/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Fatigue nausea headache flu like symptoms for 4 days after very sick, ibs pain in knee, now still fatigue ibs.

Other Meds: I take Clonazepam and Levothyroxine.

Current Illness: Anxiety Thyroid

ID: 1316882
Sex: M
Age: 36
State: PA

Vax Date: 05/07/2021
Onset Date: 05/08/2021
Rec V Date: 05/14/2021
Hospital:

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

Lab Data:

Allergies: Sulfa Drugs

Symptom List:

Symptoms: Ringing and pain in ears.

Other Meds:

Current Illness:

ID: 1316883
Sex: F
Age: 56
State: CT

Vax Date: 03/21/2021
Onset Date: 03/23/2021
Rec V Date: 05/14/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: My diastolic blood pressure reading has been steadily increasing since my first and second dose. I didn't relate the reading to the vaccine until my husband suggested a possible connection. My diastolic readings were ranging from high 60's to high 70's. I am now getting readings in the 80's and 90's. The number is consistently increasing. I'm reaching out to my dr. However, I wanted to alert you and hope there is some explanation and remedy for what I am experiencing.

Other Meds: None

Current Illness: None

ID: 1316884
Sex: F
Age: 53
State: CT

Vax Date: 03/24/2021
Onset Date: 03/24/2021
Rec V Date: 05/14/2021
Hospital:

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

Lab Data:

Allergies: Allergies Mobic [Meloxicam]Hives Percocet [Oxycodone-acetaminophen] Ace InhibitorsCough LatexRash LisinoprilCough

Symptom List:

Symptoms: 53 year old female with history of hypertension, reactive airway disease presenting for evaluation of rash for the past 2 days. Patient reports that she has had a rash to her inner thighs/groin, arms, abdomen, back of legs for the past 2 days. Reports that she has triamcinolone cream at home which she has tried with minimal improvement. Reports that she also took benadryl a few times yesterday which helped but the rash is still very itchy. Denies any fevers/chills. Reports has history of rashes as she has sensitive skin but nothing this bad. Denies any facial swelling, lip or tongue swelling, difficulty swallowing, chest pain or shortness of breath. Patient denies any new foods, detergents, creams, lotions, medications, exposures. Patient reports she originally had her second Pfizer vaccine scheduled for today but rescheduled for Saturday as she wanted to make sure it was still okay for her to get it with this rash. Reports had her first dose on 3/24/21 and only had a local rash around the vaccine site. Patient is a 53 y.o. female with history of sensitive skin and occasional urticaria presenting with 2 week history of severe urticaria not responsive to antihistamines or prednisone. Received 1st dose of Pfizer COVID-19 vaccine on March 24 Hives started around April 11th She normally gets transient hives because she has very sensitive skin She was not worried at first, but these hives persisted for longer than usual 2-3 hours. Started in inner thighs near inguinal folds Migrated to different areas including face/eyes, calves, hips, thighs, and back Hives were horrible; very large and "angry" Went to urgent care on April 14th Held off on getting second COVID vaccine dose Prednisone 40 mg x4 days which did nothing No change after stopping prednisone Also tried hydroxyzine, did not like how it made her feel Reports severe heart burn and anxiety as well Onset was around same time as hives She was advised to go to ER on 4/19 due to progression of hives to face, some lip swelling, and throat feeling "funny". Went to the ER where she was evaluated in the waiting area due to overcrowding and was advised that she could leave as she was not in immediate danger. Finally evaluated by dermatology on 4/22, who agreed her rash was "angry hives", and started on triamcinolone cream as well as 4 zyrtec/day, Pepcid. Symptoms improved around day 3 of triamcinolone cream Last night was first night that hives were not terrible but did have 2 flare ups today History of sensitive skin She cannot use perfumes or scented products Uses detergents and soaps without fragrance or dyes. Has had intermittent mild hives over 10-15 years Never had flare 2/2 infection She has not notice any other triggers for hives. Often had hives with no identified trigger. In the past, hives improved with benadryl These hives did not respond to benadryl 1st dose of Pfizer COVID 19 vaccine 03/24/21 Went to bed early, a little bit aching, then felt better in 1.5 days

Other Meds: amLODIPine (NORVASC) 2.5 mg tablet BIOTIN ORAL cetirizine (ZYRTEC) 10 mg tablet cholecalciferol, vitamin D3, (VITAMIN D3 ORAL) cyanocobalamin, vitamin B-12, (VITAMIN B-12 ORAL) EPINEPHrine (EPI-PEN) 0.3 mg/0.3 mL auto-injector ergocalcifero

Current Illness: n/a

ID: 1316885
Sex: M
Age: 48
State:

Vax Date: 05/12/2021
Onset Date: 05/12/2021
Rec V Date: 05/14/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: PATIENT WAS NOT NERVOUS ABOUT RECEIVING HIS FIRST DOSE. OUR IMMUNIZATION CERTIFIED PHARMACY TECH ADMINISTERED THE DOSE. ABOUT 2 MINUTES LATER HE STATED HE WAS FEELING TINGLY AND HIS EAR TURNED A WHITE COLOR. THE TECHNICIAN CALLED ME INTO THE ROOM WHERE I EXAMINED THE PATIENT. HE WAS NOT RESPONDING AND HIS EYES WERE DILATED. HE WAS TRYING TO BREATH BUT HE WAS HAVING DIFFICULTY. WE MOVED HIM TO THE GROUND AND PLACED HIM ON HIS SIDE TO MAKE SURE HE DID NOT ASPERATE. AFTER ABOUT 20 SECONDS OF BEING ON THE GROUD HE STARTED BREATHING NORMALLY AND WAS CONSCIOUS. THE ENTIRE EPISODE LASTED ABOUT 1 MINUTE (MAYBE SLIGHLY LONGER). EMS ARRIVED A FEW MINUTES LATER. HIS PULSE WAS LOW (ABOUT 50 BPM PER EMS) BUT HIS BLOOD PRESSURE WAS NORMAL (UNSURE OF THE VALUE). HE SAID HE REMEMBERED TALKING TO US AND THE NEXT THING HE KNEW HE WAS LAYING ON THE GROUND. HE WAS VERY NAUSEOUS AFTERWARDS FOR ABOUT 45 MINUTES (HE THREW UP TWICE). WE CONTACTED THE PATIENT THE DAY AFTER AND HE SAID HE WAS FINE AND THAT HE ONLY HAD A SORE ARM. WE BELIEVE THAT HIS BLOOD PRESSURE DROPPED TOO LOW AND CAUSED A VASOVAGAL TYPE RESPONSE.

Other Meds: ATORVASTATIN 40MG, ATENOLOL 25MG, OMEPRAZOLE 20MG, FLUOXETINE 20MG

Current Illness:

ID: 1316886
Sex: F
Age: 67
State: NC

Vax Date: 04/13/2021
Onset Date: 04/17/2021
Rec V Date: 05/14/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Had UTI. Got myself over the counter meds. I knew what to get because I had same thing with my 1st Moderna vaccine. Same number of days later! Have not had one since.

Other Meds:

Current Illness:

ID: 1316887
Sex: M
Age: 49
State: OR

Vax Date: 03/11/2021
Onset Date: 05/04/2021
Rec V Date: 05/14/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: asymptomatic active covid 19 disease after full series covid vaccines completed on 11 March 2021 and positive covid test May 4, 2021. This was found on screening for covid before dental procedure.. He never developed any symptoms.

Other Meds: Motrin, tylenol

Current Illness: obesity, diabetes type 2 and osteoarthritis

ID: 1316888
Sex: M
Age: 52
State: NC

Vax Date: 05/06/2021
Onset Date: 05/07/2021
Rec V Date: 05/14/2021
Hospital:

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

Lab Data:

Allergies: Some Beta-blocker hypertension medications

Symptom List:

Symptoms: Extreme dizziness/vertigo and fatigue. No treatment

Other Meds: 20 mg Omeprazole

Current Illness: None

ID: 1316889
Sex: F
Age: 65
State: PA

Vax Date: 04/23/2021
Onset Date: 04/24/2021
Rec V Date: 05/14/2021
Hospital:

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

Lab Data:

Allergies: Ceclor, sulfa, erythromycin, doxycycline

Symptom List:

Symptoms: Intermittent fever and chills, moderate to severe muscle and joint aches, severe headache, mild nausea. Lasted for 36 hours, treated with acetaminophen, liquids and rest

Other Meds: Synthroid, Aciphex, Lisinopril, Vivelle-Dot, Daily ASA

Current Illness: None

ID: 1316890
Sex: M
Age: 66
State: LA

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: TEMPERATURE EXCURSION WITH VACCINE ADMINISTERED , OUTCOME UNKNOWN

Other Meds:

Current Illness:

ID: 1316891
Sex: F
Age: 51
State: FL

Vax Date: 05/13/2021
Onset Date: 05/13/2021
Rec V Date: 05/14/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: PT. Was given the Janssen Vaccine on 03/22/2021 and Pt came for a 2nd dosage of the Moderna Vaccine on 05/13/2021. PT agreed on getting the vaccine, not telling the Medical staff about the previous vaccine from 03/22/2021. PT was left in observation for 30min after the Moderna vaccine was administer

Other Meds: N/A

Current Illness: N/A

ID: 1316892
Sex: F
Age: 57
State: TX

Vax Date: 05/10/2021
Onset Date: 05/10/2021
Rec V Date: 05/14/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List:

Symptoms: Patient was administered invalid 2nd dose of Pfizer vaccine (vaccine was stored 5 days beyond recommended freezing time). Pfizer was contacted and recommended that the patient receive a booster in the opposite arm. Patient can receive booster immediately and will be contacted to schedule booster dose.

Other Meds: NONE

Current Illness: NONE REPORTED

ID: 1316893
Sex: M
Age: 16
State: LA

Vax Date: 05/09/2021
Onset Date: 05/09/2021
Rec V Date: 05/14/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Temperature excursion with vaccine administered

Other Meds:

Current Illness:

ID: 1316894
Sex: F
Age: 57
State: NY

Vax Date: 03/15/2021
Onset Date: 03/29/2021
Rec V Date: 05/14/2021
Hospital: Y

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

Lab Data:

Allergies: latex epinephrine

Symptom List:

Symptoms: vertigo , ringing in ears , nausea

Other Meds: losartan , zetia

Current Illness: none

ID: 1316895
Sex: M
Age: 26
State: MN

Vax Date: 04/11/2021
Onset Date: 04/16/2021
Rec V Date: 05/14/2021
Hospital:

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

Lab Data:

Allergies: None known

Symptom List:

Symptoms: Shortly after (4 days) receiving the vaccine I began to experience leg pain and minor cramping, in addition to mild general pain. This continued for about 1 week. I still have occasional pain, particularly in the legs, made worse by exercise (lighter exercise than would normally cause pan). I have also been experiencing hypertension that, to my knowledge, did not exist prior to receiving the vaccine. This has persisted since first measured 5 days after the vaccine until today, more than a month after receiving it.

Other Meds: None

Current Illness: None

ID: 1316896
Sex: M
Age: 24
State: MI

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

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

Lab Data:

Allergies: Penicillin.

Symptom List:

Symptoms: He got the vaccine, mom received her shot and the pharmacist said they were done, and he told his mother that he was feeling a little dizzy and anxious and wanted to sit down. They were going to the car and he got in first as he was going to drive, and mother got in the car, and he acted like his head was spinning, had a blank stare and started making weird sounds like he could not breath, started foaming at the mouth and then he passed out. She called 9-1-1 and when they got there he was coming out of it. They checked his VS and said that everything was OK, and felt that he did not need to go to the hospital but it was their call. He didn't want to go either. She drove him home and he slept OK, he had a bad headache and felt extremely tired and lied down. He seemed to be OK the next day other than his arm being sore, but no other issues and he's been fine since. The pharmacy did not have them wait before leaving to make sure they were OK, the pharmacist told her they were fine and they could go, but the incident occurred within 5 minutes of the vaccine.

Other Meds: None.

Current Illness: None.

ID: 1316897
Sex: M
Age: 72
State: LA

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: temperature with vaccine administration

Other Meds:

Current Illness:

ID: 1316898
Sex: F
Age: 31
State: LA

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Temperature excursion with vaccine administration

Other Meds:

Current Illness:

ID: 1316899
Sex: F
Age: 69
State: LA

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: NONE

Other Meds:

Current Illness:

ID: 1316900
Sex: F
Age: 68
State: AZ

Vax Date: 04/15/2021
Onset Date: 05/06/2021
Rec V Date: 05/14/2021
Hospital:

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

Lab Data:

Allergies: Sensitivity to all grains, Neupogen and synthetics

Symptom List:

Symptoms: Being idiopathic neutropenia my account fluctuates every 21 days. After receiving my second dose of the Covid vaccine my account dropped 15 days after the injection then it dropped 10 days in the next month. My counts are tending to run lower than normal. My Neupogen injections are not raising my counts like it used to Nor is it lasting. I have been very fatigued.

Other Meds: Whole Food supplement, vitamin D, l-lysine, folic acid , selenium

Current Illness: My White Cell count was very low at the time of COVID Vaccine due to my Idiopathic Neutropenia.

ID: 1316901
Sex: M
Age: 24
State: TX

Vax Date: 05/10/2021
Onset Date: 05/10/2021
Rec V Date: 05/14/2021
Hospital:

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

Lab Data:

Allergies: nka

Symptom List:

Symptoms: Patient was administered invalid 2nd dose of Pfizer vaccine (vaccine was stored 5 days beyond recommended freezing time). Pfizer was contacted and recommended that the patient receive a booster in the opposite arm. Patient can receive booster immediately and will be contacted to schedule booster dose.

Other Meds: none

Current Illness: none reported

ID: 1316902
Sex: F
Age: 37
State: MN

Vax Date: 03/10/2021
Onset Date: 04/01/2021
Rec V Date: 05/14/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Tinnitus started three weeks after shot. Primary care doctor and audiologist do not know cause.

Other Meds: Lexapro, Wellbutrin, pre-natal vitamin

Current Illness: Had a cold

ID: 1316903
Sex: F
Age: 42
State: MD

Vax Date: 05/12/2021
Onset Date: 05/13/2021
Rec V Date: 05/14/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: swollen lymph node, soft to touch-no pain lower neck above collar bone-supraclavicular lymph nodes-left side-same side as vaccine injection

Other Meds: Lamotrigine 100 mg Naltrexone 25 mg Vitamin D

Current Illness: none

ID: 1316904
Sex: M
Age: 47
State: LA

Vax Date: 05/09/2021
Onset Date: 05/09/2021
Rec V Date: 05/14/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Temperature excursion with vaccine administered

Other Meds:

Current Illness:

ID: 1316905
Sex: M
Age: 65
State:

Vax Date: 03/18/2021
Onset Date: 03/21/2021
Rec V Date: 05/14/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Rash at the site of injection and then spread throughout body with hives. Reoccurred with second shot. Improved with steroids.

Other Meds:

Current Illness:

ID: 1316906
Sex: F
Age: 47
State: OR

Vax Date: 01/14/2021
Onset Date: 04/14/2021
Rec V Date: 05/14/2021
Hospital:

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

Lab Data:

Allergies: allergy bee stings

Symptom List:

Symptoms: Pt received first dose Moderna, immediately started complaining of throat tightening and lip swelling. Epi pen 0.3mg, administered, and Diphenhydramine 50mg IM. No stridor, wheezing, visible swelling or any other objective findings. EMS called and responded within 5 minutes, patient was transported to the hospital.

Other Meds:

Current Illness:

ID: 1316907
Sex: F
Age: 35
State: LA

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: NONE

Other Meds:

Current Illness:

ID: 1316908
Sex: F
Age: 36
State: IN

Vax Date: 05/12/2021
Onset Date: 05/12/2021
Rec V Date: 05/14/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Patient complains of knee pain which described to as sharp and shooting to the hip and to the ankle. Patient relates pain to the shot. No trauma known to leg. Contacted patient on 5/14 and condition remains - patient has taken ibuprofen with some relief.

Other Meds: None

Current Illness: None

ID: 1316909
Sex: F
Age: 63
State: FL

Vax Date: 04/20/2021
Onset Date: 04/22/2021
Rec V Date: 05/14/2021
Hospital: Y

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

Lab Data:

Allergies: Aspirin, shellfish

Symptom List:

Symptoms: Weakness, shortness of breath, became COVID positive after the 1st dose of vaccination, IV meds, blood thinner, chest x-ray, staff member was hospitalized

Other Meds: Enalap-Hctz 10-25mg, Omeprazole40mg, Atorzastatin 10mg, Ferrous Sulfate 325mg

Current Illness: None

ID: 1316910
Sex: F
Age: 26
State: FL

Vax Date: 05/03/2021
Onset Date: 05/07/2021
Rec V Date: 05/14/2021
Hospital:

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

Lab Data:

Allergies: Chicken

Symptom List:

Symptoms: Shingles

Other Meds: Synthroid

Current Illness: None

ID: 1316911
Sex: F
Age: 33
State: IN

Vax Date: 05/12/2021
Onset Date: 05/13/2021
Rec V Date: 05/14/2021
Hospital:

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

Lab Data:

Allergies: Keflex

Symptom List:

Symptoms: Fatigue and body aches.

Other Meds:

Current Illness:

ID: 1316912
Sex: F
Age: 26
State: MN

Vax Date: 01/11/2021
Onset Date: 05/13/2021
Rec V Date: 05/14/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Pt currently has Covid 19

Other Meds:

Current Illness:

ID: 1316913
Sex: F
Age: 62
State: CA

Vax Date: 04/04/2021
Onset Date: 04/18/2021
Rec V Date: 05/14/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: I've developed skin rashes to several separate events. 04/18/2021 - Accidentally Cut my ankle while working on a fused glass project. Itchy rash developed around the cut. 5/02/2021 Developed a skin Rash on my chest, that was swollen with itchy red welts. 5/11/2021 Developed a skin rash on my neck after having a skin growth removed by my dermatologist. Rash developed after removal and is itchy with raised red bumps.Treated all with topical cortisol. Rashes still persist but do get slowly better with cortisone. Never have had any reactions like this before.

Other Meds: Blood pressure meds

Current Illness: None

ID: 1316914
Sex: F
Age: 61
State: VT

Vax Date: 01/13/2021
Onset Date: 02/01/2021
Rec V Date: 05/14/2021
Hospital:

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

Lab Data:

Allergies: Augmentin seasonal allergies

Symptom List:

Symptoms: Not feeling myself since the vaccination, Body aches, terrible episodes of chills/shakes, No energy, very tired, no appetite, headaches Began getting worse @ April 1, 2021

Other Meds: Lisinopril, Diltiazem, Magnesium, Hydroxychloroquine, Loratadine, vitamin D, and multi vitamin

Current Illness: Shingles - December 2, 2020

ID: 1316915
Sex: F
Age: 44
State:

Vax Date: 04/16/2021
Onset Date: 04/22/2021
Rec V Date: 05/14/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: My menstrual cycle is completely disturbed since receiving the vaccines. I have two periods per month.

Other Meds: Multi-vitamin

Current Illness: None

ID: 1316916
Sex: M
Age: 25
State: AL

Vax Date: 05/13/2021
Onset Date: 05/14/2021
Rec V Date: 05/14/2021
Hospital:

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

Lab Data:

Allergies: Shellfish

Symptom List:

Symptoms: Fainting, headache, nausea, and eye pain. All began around 11 hours after receiving the 2nd dose of Pfizer.

Other Meds: None

Current Illness: None

ID: 1316918
Sex: M
Age: 54
State: LA

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: TEMPERATURE EXCURSION WITH VACCINE ADMINISTERED , OUTCOME UNKNOWN

Other Meds:

Current Illness:

ID: 1316919
Sex: F
Age: 78
State: IN

Vax Date: 05/12/2021
Onset Date: 05/13/2021
Rec V Date: 05/14/2021
Hospital:

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

Lab Data:

Allergies: sulfa, codeine,

Symptom List:

Symptoms: Patient stated next day after taking the vaccine, she had 102.7 temp, fatigue, nausea, chills, body aches and pains. Her legs hurt and she had trouble staying awake. She took Tylenol which helped bring down the temp but did not make it go away. On 5/14/2021, patient stated she still has 100.7 temp and is nauseated but the other symptoms have subsided. She had the COVID virus on January 23, 2021.

Other Meds: metoprolol 50mg bds, pravastatin 20mg bds, amlodipine 5mg, qd, pantoprazole 40mg qd, methimazole 5mg qd, famotidine 20mg qd, loratadine 10mg qd, vitamin D3 1000UN qd, Flonase

Current Illness:

ID: 1316920
Sex: M
Age: 73
State: AL

Vax Date: 01/25/2021
Onset Date: 01/27/2021
Rec V Date: 05/14/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: After the first vaccination, I was tired for 24 hours. However, with the second vaccination, I began experiencing more serious symptoms or reactions. Serious shortness of breath, as if unable to get sufficient oxygen. Extremely tired. Headaches behind my eyes. It is normally very unusual for me to get headaches. Dizziness and loss of balance. Weak and impaired vision. Eyes very sensitive to sunlight. Changes in ability to taste foods and sometimes foods taste very different. Pain spikes - various muscle and joint pain spikes. These symptoms have lasted for the past 8 weeks. I feel like most of the symptoms are gradually subsiding, but the time period is too short to be sure (as some symptoms come and go). I am anxiously expecting them to subside in the near future. I am sending this information to you for the purposes of records and statistics. I really do not have a choice in accepting the vaccinations because I am in my 70s. My son developed cancer; so, I had to make sure I do not expose him.

Other Meds:

Current Illness:

ID: 1316921
Sex: F
Age: 51
State: IL

Vax Date: 05/01/2021
Onset Date: 05/01/2021
Rec V Date: 05/14/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Significant body aches; pain (crushing pain); fever; headache; loss of appetite.

Other Meds: None

Current Illness: None

ID: 1316922
Sex: M
Age: 37
State: CT

Vax Date: 05/07/2021
Onset Date: 05/07/2021
Rec V Date: 05/14/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient fainted after administration of his vaccine. It was only a few seconds and when he opened his eyes he stated he usually only faints after giving blood. We held him the full 30 minutes for observation and he did not experience any other adverse reaction

Other Meds:

Current Illness:

ID: 1316923
Sex: M
Age: 83
State: FL

Vax Date: 03/25/2021
Onset Date: 03/30/2021
Rec V Date: 05/14/2021
Hospital:

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

Lab Data:

Allergies: Hyzaar , Intergelin

Symptom List:

Symptoms: Very high blood pressure with hospitalization required on April 2, April 17, and again on May 9. Catherization on May 11. Discharged late May 11 with additional blood pressure meds.

Other Meds: One

Current Illness: Only heart disease with stable blood pressure

ID: 1316924
Sex: F
Age: 80
State: LA

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Temperature excursion with vaccine administration

Other Meds:

Current Illness:

ID: 1316925
Sex: M
Age: 51
State: LA

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: NONE

Other Meds:

Current Illness:

ID: 1316926
Sex: F
Age: 16
State: CA

Vax Date: 05/13/2021
Onset Date: 05/14/2021
Rec V Date: 05/14/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: 16 year old previously got 1st dose of Moderna, so had to give 2nd Moderna per guidance, no problems identified

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 704,237

Page last modified: 03 October 2021 5:28pm