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: 1343210
Sex: F
Age: 35
State: CA

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Pressure on head internally. Stiff neck particularly on left side. Tingling numbing down left side all the way down to leg. Unable to sleep due to pressure inside head. Pain in left arm. Coldness on left side. Nauseous. Face puffing and pressure on eyes. Stuffed left nose. Body aches inhaling.

Other Meds: None

Current Illness:

ID: 1343211
Sex: F
Age: 44
State: GA

Vax Date: 05/10/2021
Onset Date: 05/12/2021
Rec V Date: 05/24/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient developed blisters and had fever. On 5/12/2021 She contacted her primary MD, Dr and received Solumedrol. She was not better on 5/13/2021, so she went to Urgent Care and saw Dr.

Other Meds:

Current Illness:

ID: 1343212
Sex: M
Age: 33
State: IA

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

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

Lab Data:

Allergies: Nickel and Sertraline

Symptom List:

Symptoms: He got a COVID vaccine (location unknown to me) and called a few weeks after vaccine to report symptoms of blood clot was diagnosed this past weekend at emergency room.

Other Meds: Vraylar Tesosterone Cypionate

Current Illness: none

ID: 1343213
Sex: M
Age: 38
State: FL

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

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

Lab Data:

Allergies: peanut allergy

Symptom List:

Symptoms: Pt. is a 38 year old male complaining of chest tightness, itchy throat. Noted to have a dry cough. Encouraged pt. to remain calm, relax, take a deep breath. Fire Rescue arrived at scene for further evaluation. Vital signs rendered. Patient declined hospitalization at this time. Patient recovered from adverse event. Encouraged, educated to patient to contact emergency services or drive to the nearest emergency room in the event another adverse reaction occurs. Patient acknowledged and left observation area at 11:58am.

Other Meds: Benadryl 25 mg. tablet

Current Illness: none

ID: 1343214
Sex: F
Age: 51
State: MI

Vax Date: 04/30/2021
Onset Date: 04/30/2021
Rec V Date: 05/24/2021
Hospital:

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

Lab Data:

Allergies: Erythromycin Morphine

Symptom List:

Symptoms: Pain and inflammation left wrist. Began 4 hours after vaccine. Pain is extreme at times. Feels as if wrist is broken. Initial xray , labs were done 05/ 02/21 diagnosis was/is cellulitis. Completed courses of three antibiotics: keflex, cipro, Bactrim. Symptoms remain. Starting new round of antibiotics today, also referred to a bone doctor

Other Meds: Arnica 30c Spirulina powder Microbiome

Current Illness:

ID: 1343215
Sex: M
Age: 52
State: GA

Vax Date: 04/25/2021
Onset Date: 05/20/2021
Rec V Date: 05/24/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Severe Cramping in Legs and Left Side of Stomach

Other Meds: Vitamin D

Current Illness: None

ID: 1343216
Sex: F
Age: 59
State: AR

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 05/24/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: I woke up the next morning and I was hurting all over. Any time I moved any part of my body it hurt. I had a headache, fever, and I had to pick up my daughter 2 hours away. I had a headache all day, muscle aches all over, and a fever (100-101). Around 5pm that evening I started feeling better.

Other Meds: supplements - 1xday/25mg estridol -1xday/ .50mg simdisthein - 1xday/ 10mg singulair - 1xday/10mg claritin - 1xday/10mg vitamin D - 1xday/5000units tramadol - 1-2xday/50mg flexiril - as needed/5mg

Current Illness:

ID: 1343217
Sex: F
Age: 17
State: NY

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 05/24/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: The patient, was injected with Moderna COVID19 vaccine at 17 years old at another facility, Library, as a first dose. The patient did not experience any adverse events after the first dose. The patient came to our pharmacy, to receive a second dose of Moderna COVID19 vaccine off-label. Permission was obtained by child's parent and physician to give a second dose of Moderna. The second dose was given on May 18th, 2021 at Pharmacy after the expressed approval of the patient's PCP Dr. and patient's father.

Other Meds: None

Current Illness: None

ID: 1343218
Sex: F
Age: 34
State: MA

Vax Date: 05/05/2021
Onset Date: 05/07/2021
Rec V Date: 05/24/2021
Hospital:

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

Lab Data:

Allergies: SULFAMETHOXAZOLE, TRIMETHOPRINE

Symptom List:

Symptoms: Pt received the second dose of Pfizer vaccine on 5/5/21 815 am left arm, on 5/7/21 pt experienced some chest pain which got worse on 5/8/21 with chills, body ache. Then on Monday went to see cardiologist, labs, cat scan, echo & ekg were performed.

Other Meds: COLCHICINE

Current Illness:

ID: 1343219
Sex: F
Age: 47
State: MA

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

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

Lab Data:

Allergies: No allergies; however, has a history of toxic effects from processed glutamates in foods and drugs.

Symptom List:

Symptoms: Heart palpitations, diarrhea, nausea, cramps, headache, neck sensation, tinnitus, muscle soreness (myalgia), chills, slight fever, sore throat, congestion, injection site pain

Other Meds: None

Current Illness: None

ID: 1343220
Sex: F
Age: 12
State: MD

Vax Date: 05/21/2021
Onset Date: 05/22/2021
Rec V Date: 05/24/2021
Hospital:

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

Lab Data:

Allergies: Amoxicillin

Symptom List:

Symptoms: I just saw a 12 year old in the office who has an odd rash that started the day after she got her first COVID vaccine (Pfizer). She started with the two on her right ankle the day following the vaccine, then the two on her left ankle started the next day, followed by one more on her distal left arm over each of the next three days. She says the burn slightly when she touches them but no itching, not otherwise painful. They look to me like burns or something similar. I wonder if they are self-inflicted but she denies causing them or anything new recently aside from the vaccine. She has been using neosporin occasionally since they were noted, no other treatments. Other vaccine reaction noted: fatigue and slightly sore arm. She just completed a course of clinda for strep on 5/5. Otherwise just takes vitamin D daily. No recent open water swimming, etc.

Other Meds: Vitamin D 3

Current Illness: Strep - treated with clindamycin, last dose 5/5/21

ID: 1343221
Sex: M
Age: 53
State:

Vax Date: 03/10/2021
Onset Date: 03/15/2021
Rec V Date: 05/24/2021
Hospital: Y

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Vaccine Received on Wed 3/10/2021. On Saturday - shortness of breath, very elevated resting pulse (by 25 bpm) reduced oxygen saturation (87 on oximeter vs 95), moderate ongoing chest pain. Primary care doctor advised to go to ER. ER visit resulted in misdiagnosis of Heart Attack which was later changed to heart inflammation. Troponin levels elevated and stayed elevated and continue to be elevated 8 weeks later. AFter 8 weeks Troponin levels still elevated and pain occurs upon anything more than modest exercise. Patient has a history as an edurance athlete. All other tests on heart function - stress test/ Ekg, perfusion, echo - show a high peforming heart - no other defects other than heart inflamation.

Other Meds: none

Current Illness: none

ID: 1343222
Sex: M
Age: 13
State: NC

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

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Approximately 5 minutes after receiving first dose of Pfizer, patient became disoriented, eyes began rolling back in the head, loss of skin color, hands tingling, and altered hearing. We administered 25 mg of benadryl and patient began to feel better within 5 minutes. Patient stayed an additional 30 minutes and continued to improve to normal per parents.

Other Meds: none

Current Illness: NONE

ID: 1343223
Sex: F
Age: 76
State: WI

Vax Date: 05/18/2021
Onset Date: 05/22/2021
Rec V Date: 05/24/2021
Hospital: Y

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

Lab Data:

Allergies: No known allergies

Symptom List:

Symptoms: Pt received one dose of the Moderna vaccine, then tested positive for COVID-19 on 5/22/2021 and was ill enough to be admitted for inpatient treatment. She is still currently in our inpatient Gen med unit.

Other Meds: Anastrozole; cholecalciferol; cyanocobalamin; hydrochlorothiazide; latanoprost; losartan; meloxicam; omeprazole; timolol

Current Illness:

ID: 1343224
Sex: M
Age: 83
State: MN

Vax Date: 03/25/2021
Onset Date: 04/27/2021
Rec V Date: 05/24/2021
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. Diagnoses were weakness, elevated CPK, anemia, non-traumatic rhabdomyolysis.

Other Meds:

Current Illness:

ID: 1343225
Sex: F
Age: 30
State: MN

Vax Date: 03/01/2021
Onset Date: 04/01/2021
Rec V Date: 05/24/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: Fatigue, confusion, short term memory concerns, trouble thinking of words. All started about 1 month after vaccine and have continued for 1 month so far. Symptoms similar to brain fog.

Other Meds: Birth control

Current Illness: None

ID: 1343226
Sex: F
Age: 75
State:

Vax Date: 03/16/2021
Onset Date: 03/17/2021
Rec V Date: 05/24/2021
Hospital:

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

Lab Data:

Allergies: NKMA

Symptom List:

Symptoms: Unexplained numbness/parasthesias along with pain of the lower left extremity x 3 weeks. Fatigue. Denies any rash. Also reported swollen and painful area on anterior/lateral aspect of the left ankle without reported injury to the extremity. Symptoms onset was sudden and gradually improved after three weeks.

Other Meds: Pravastatin, CoQ10, multivitamin, magnesium, lutein, garlic, ginko, krill oil, lecithin

Current Illness: none

ID: 1343227
Sex: M
Age: 45
State: NJ

Vax Date: 05/03/2021
Onset Date: 05/07/2021
Rec V Date: 05/24/2021
Hospital:

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

Lab Data:

Allergies: Penicillan

Symptom List:

Symptoms: Lump under my left armpit

Other Meds: Vitamin d?, lysine, vitamin c, magnesium, zinc

Current Illness: N/A

ID: 1343228
Sex: M
Age: 25
State: IL

Vax Date: 05/20/2021
Onset Date: 05/21/2021
Rec V Date: 05/24/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Swelling in the left armpit that spread to the left upper arm and the left rib cage. Feels like there is a baseball in my left armpit. It is painless most of the time, just uncomfortable. I did wake up in the middle of the night once due to pain associated with the swelling. The swelling started more than 24 hours after my second dose. It is still swollen four full days after my second dose.

Other Meds: Pantoprazole - 40 mg daily

Current Illness: None

ID: 1343229
Sex: F
Age: 13
State: SC

Vax Date: 05/21/2021
Onset Date: 05/21/2021
Rec V Date: 05/24/2021
Hospital: Y

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

Lab Data:

Allergies: Amoxicillin, Zithromycin, Shellfish, Contrast used for MRI

Symptom List:

Symptoms: Friday, 5/21 around 11:55 she received her first dose. 20 minutes later she complained that it felt like someone punched her in the face, and her left cheek was swelling. She looked woozy, with her eyes closing, and the nurses laid her down on the floor on a mat. Her tongue and throat began swelling, and she was having extreme difficulty breathing. She then could not feel anything from her neck down, like she was paralyzed. The nurse administered an Epipen and EMS showed up minutes later. In the ambulance, EMS administered another Epipen, gave her a steroid and Benadryl and rushed her to the hospital. Once at the ER, she was still having a hard time breathing, and could not feel anything from the waist down and could not move her legs. She also complained about her spine being in extreme pain around the mid to lower back. When her symptoms did not resolve, she was admitted to the hospital for observation and treatment. She had extreme pain in her joints - spine, hips, knees, ankles and toes, if someone tried to move them, she could not move on her own. She also had tingling and numbness that would travel up and down her body - weakness in her arms and legs. The medical staff continued with Bendryl - switched to Adderax, and Motrin and steroids (Prednisone?). She was discharged from the hospital Sunday, 5/23/21 in the afternoon. This morning (Monday 5/24/21) she is still experiencing back and leg pain, weakness and cannot walk with out assistance and it is extremely painful.

Other Meds: Takes Sprintec daily at bedtime. Last dose on Thursday, 5/20/21 at bedtime. No medications the day of vaccination

Current Illness: none

ID: 1343230
Sex: F
Age: 41
State: WI

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 05/24/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: I had severe joint pain, headache, nausea, and extreme fatigue. And symptoms that went on for a month were dizziness and brain fog.

Other Meds:

Current Illness:

ID: 1343231
Sex: F
Age: 31
State: MO

Vax Date: 05/20/2021
Onset Date: 05/24/2021
Rec V Date: 05/24/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient developed all over body rash 4 days after receiving vaccine. She took a benadryl and called the pharmacy.

Other Meds:

Current Illness:

ID: 1343232
Sex: F
Age: 59
State: FL

Vax Date: 05/21/2021
Onset Date: 05/22/2021
Rec V Date: 05/24/2021
Hospital:

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

Lab Data:

Allergies: Penicillin Mango, papaya, passion fruit

Symptom List:

Symptoms: Fever ranging from 102.1 on the day after receiving the injection to current temp of 99.8 on day three. Severe headache, chest tightness; constant dry cough; severe body aches; severe pain in arm of injection site, unable to lift arm on day following injection and although the pain has lessened, the injection site is still extremely red, swollen, sore and hot to touch and itchy.

Other Meds: Losartan HCTZ; Zyrtec; Vitamin D; Vitamin K; probiotic

Current Illness: None

ID: 1343233
Sex: F
Age: 40
State: NY

Vax Date: 05/06/2021
Onset Date: 05/07/2021
Rec V Date: 05/24/2021
Hospital: Y

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

Lab Data:

Allergies: The last known allergic reaction was to Morphine in 2007 during birth.

Symptom List:

Symptoms: I started to have headaches which continued until 05/20/2021 and Ultimately had a fever (100.6) at 10:30 pm with chills. Tylenol and Advil were taken throughout the process. On 05/21/2021 at 09:45 am, I noticed the droopyness to my left side of the face. I tested negative for Covid-19 at 11:00 am. On the same date at 11:30 am I met with my PCP who suggested that I go to the Emergency room. At 12:30 I went to the Hospital and was treated for Bell's Palsy. I have been taking Prednisone (20mg) 3x a day and Valacyclovir (1Gm) 3x a day.

Other Meds: No medications were being taken at the time of the vaccination.

Current Illness: There were no illness to be reported at least 6 months prior to the vaccination.

ID: 1343234
Sex: F
Age: 47
State: GA

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

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

Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: Dizziness - pharmacy technician did not give me the option to wait - it was not offered or recommended. Immediately after the vaccination was given, I was free to go. I had a few things to pick up in the store and as I was headed up the aisle to the checkout, I immediately became dizzy and had to hold on to the shelf to keep myself upright. As I approached the counter, I noticed the pharmacy staff was heading out on break. I stopped one of the reps and explained that I didn't feel well and asked if I should go and sit down until the dizziness subsided. She replied yes and explained that they were on lunch but the pharmacist may come out. As I head back to the rear of the store, I continued to feel dizzy. The pharmacist was coming from the back (an office outside of the pharmacy) to accept a delivery and I explained that I was dizzy and was going to sit down. He shook his head yes, but never came back to check on me. I waited approximately 20 -25 minutes then left the store. *After talking with relatives and friends, all of them were required to wait at least 15 minutes before becoming mobile. Perhaps this option wasn't given to me since it was close to the time when the pharmacy closes for lunch. Later that day, my left leg began to hurt near my calf and it was extremely difficult for me to walk. I googled the side-effects and read that muscle cramps were possible, so I did not seek further medical attention. The pain was intense but had resolved by Saturday morning.

Other Meds: Metoprolol HTZ Metformin

Current Illness: N/A

ID: 1343235
Sex: F
Age: 31
State: CA

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: First Dose 7 days later rash in the site of injection (treated with a shot of dexamethasone). Second dose 8 hours after the second dose the rash appears (red, itchy), also fever and muscular pain.

Other Meds: None

Current Illness: None

ID: 1343236
Sex: M
Age: 72
State: CT

Vax Date: 05/21/2021
Onset Date: 05/21/2021
Rec V Date: 05/24/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: 72 yo man received Dose 1 Pfizer covid vaccine prior to acute admission. On 5/11/21, patient was admitted for lower extremity osteomyelitis unrelated to vaccinations. During this stay, Dose 2 Pfizer covid vaccine became due. On 5/21/21 a vial of Pfizer covid vaccine was sent to the patient care area for administration. The nurse drew up and administered 0.3 mL without first diluting. The patient did not experience any adverse reactions or adverse effects as of 5/24/21. Discharge is planned for 5/24/21.

Other Meds:

Current Illness:

ID: 1343237
Sex: M
Age: 39
State: FL

Vax Date: 05/20/2021
Onset Date: 06/05/2021
Rec V Date: 05/24/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: A lot of headaches for 48 hours. Dizziness. Severe pain in arm for 72 hours or more. A lot of tiredness for 48 hours. 4 days later, the headache pain is almost a zero, pain in arm lessened considerably but it still hurts, tiredness has lessened but I still feel it, Headache has lessened but there is still a slight sensation.

Other Meds: None

Current Illness: None

ID: 1343238
Sex: F
Age: 66
State: MA

Vax Date: 05/20/2021
Onset Date: 05/20/2021
Rec V Date: 05/24/2021
Hospital: Y

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

Lab Data:

Allergies: Allergies to codeine and NSAIDS

Symptom List:

Symptoms: Patient began experiencing some shortness of breath 15 minutes after the injection with audible wheezing. This nurse assessed her and found the following: LS tight/rhonci whole L side w/wheezing in bilat upper lungs, O2 sat 96% on RA, skin pink/warm, no change in color, no diaphoresis noted, HR regular/98. Patient was able to converse. 911 was activated, paramedics heard air movement throughout lungs, still 96% on RA, BP 141/92. Taken by ambulance to ED due to long history of asthma and no recue inhaler on her person.

Other Meds: Prednisone taper, albuterol inhaler

Current Illness: Chronic asthma, frequent pneumonia, transient afib

ID: 1343239
Sex: F
Age: 30
State: TX

Vax Date: 05/21/2021
Onset Date: 05/21/2021
Rec V Date: 05/24/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Low grade fever for 24 hours. Pain in muscles and joints, similar to flu. Pain in left ear still present 48 hours later. Fogginess of mind for first 24hours.

Other Meds: Zoloft, Trileptal, Trintellix

Current Illness:

ID: 1343240
Sex: M
Age: 29
State: WI

Vax Date: 05/07/2021
Onset Date: 05/12/2021
Rec V Date: 05/24/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: loss of smell

Other Meds: none

Current Illness: none

Date Died: 05/03/2021

ID: 1343241
Sex: M
Age: 60
State: FL

Vax Date: 03/29/2021
Onset Date: 05/03/2021
Rec V Date: 05/24/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Outcome : patient died Cause : cardio respiratory arrest Had previously tested for any heart problem but his heart was in excellent conditions

Other Meds: Prednisone Ipratropium bromide and albuterol sulfate Fenobribrate Acetylcysteibe Rybelsus Humalog Levemir Metformin

Current Illness:

ID: 1343242
Sex: F
Age: 15
State: TX

Vax Date: 05/14/2021
Onset Date: 05/20/2021
Rec V Date: 05/24/2021
Hospital:

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

Lab Data:

Allergies: iodine

Symptom List:

Symptoms: Day 6 post vaccine patient began complaining of bilateral anterior ankle pain, and L hip pain. She had a low grade fever of 99.8 at that time. The following day Day 7, she had general fatigue, bilateral angle pain, and malaise. On Saturday, Day 8 she was unable to stand for periods of 15 minutes or longer due to pain in both ankles, and her knees, and elbows began to hurt. On this day she was given advil 400mg without relief, she then took Tylenol 650mg and the joint pain decreased from a 9 to a 6. We have had to continue alternating tylenol and advil since Saturday and she is unable to stand or walk for prolonged periods.

Other Meds: none

Current Illness: none

ID: 1343243
Sex: M
Age: 52
State: IA

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Employee came to for 2nd COVID19 vaccine dose. The MA drew up a full vial that was not diluted. Therefore, the employee received more vaccine than he should have. Once discovered, the employee was contacted by the Medical Director, was told about the incident and what to expect, and was instructed to call or the medical director with any concerns. Pharmacy were notified. administrative oversight for were also notified. The vaccine vial had been sitting in an opaque bag on the counter as it needed to be at room temperature for 15 minutes before reconstitution. The vial (lot number EW0179) was intact and no expiration sticker was on it. Since this event, the clinic has changed practice of drawing up each dose as needed and will draw up all 6 doses from a vial, label/date them, and place in an opaque bag ready for use. The syringes will be good for 6 hours as verified with pharmacy. The clinic administers many vaccines, all of which are unit dose. Drawing up all syringes from a COVID19 vial will more closely align with this practice.

Other Meds:

Current Illness:

ID: 1343244
Sex: M
Age: 48
State: TN

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 05/24/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List:

Symptoms: About three weeks ago began to experience swelling in lower right arm, above wrist (he had vaccine in left arm), fever, cough at nighttime and tingling to point of pain from right shoulder to elbow, and left little finger numb

Other Meds: None

Current Illness: No

ID: 1343245
Sex: M
Age: 49
State: CT

Vax Date: 05/19/2021
Onset Date: 05/20/2021
Rec V Date: 05/24/2021
Hospital:

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

Lab Data:

Allergies: MRI injection dye, pollen, ragweed and animal dander.

Symptom List:

Symptoms: Excruciating pain in right foot. Very similar to gout attack. Was it a gout attack? My prior gout attacks affected right big toe.

Other Meds: Claritin. Multi-vitamin.

Current Illness: None

ID: 1343246
Sex: M
Age: 18
State: CA

Vax Date: 05/18/2021
Onset Date: 05/19/2021
Rec V Date: 05/24/2021
Hospital: Y

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: chest pain, ECG ST changes, depressed biventricular functions on cardiac echo

Other Meds: None

Current Illness: None

ID: 1343247
Sex: F
Age: 34
State: DC

Vax Date: 05/07/2021
Onset Date: 05/07/2021
Rec V Date: 05/24/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Very sore and tender arm at site of injection, swollen lymphnodes under arm on that side 36 hours after injection, headache starting 4 hours after injection, fatigue, menstrual cycle much heavier than normal

Other Meds: Sprintec, prenatal vitamins, B and C vitamins

Current Illness: None

ID: 1343248
Sex: M
Age: 43
State: TX

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

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

Lab Data:

Allergies: unknown

Symptom List:

Symptoms: Patient fainted after receiving first dose of moderna, patient came to immediately with no confusion, he was able to answer all questions

Other Meds: unknown

Current Illness: unknown

ID: 1343249
Sex: M
Age: 41
State: TX

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: ~15-30 mins post vaccine dose, patient developed seizure and transferred to outside hospital emergency room via ambulance. Unknown if patient admitted.

Other Meds:

Current Illness:

ID: 1343250
Sex: M
Age: 51
State: IN

Vax Date: 04/19/2021
Onset Date: 04/19/2021
Rec V Date: 05/24/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Approximately 12 hours after receiving the second dose, I spiked a fever of 101, felt body aches and chills. This lasted for about 1 day. On day 3, I woke with stiff, achy and sore joints in my right hand. On day 4, these symptoms remained in my right hand and moved to my left. Over the next week, stiff joints moved into my toes. EXTREME FATIGUE and mental fogginess also developed as did blood pressure spikes. On week 2, move joints started aching including knees, elbows and shoulder. On week 3, my fingers were so sore and stiff it became difficult to use door knobs. I contacted a virtual doctor to ask for direction. He assumed in was side effects and prescribed me Diclofenance Sodium 75 mg for pain. Two days later, I went to the emergency room as the pain, fatigue and fogginess was becoming very concerning. On week 4, I was finally able to see my family doctor. He assumes it is a overactive immune response to the vaccine and prescribe Prednisone 20 mg to overcome the symptoms. The course of Prednisone has decress the severity of my symptoms but on week 5 I continue to have stiff, painful joints, mental fogginess.

Other Meds: Hydroclorithiazide 25 mg. Omeprozole 40 mg, Famotidine 20 mg, multivitamin

Current Illness: None

ID: 1343251
Sex: F
Age: 57
State: CA

Vax Date: 04/14/2021
Onset Date: 05/15/2021
Rec V Date: 05/24/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Inflamed joints. Big toe on left foot. Both thumb joints are inflamed and very sore. Right side thumb is worse. Knees inflamed.

Other Meds: Hydrochlorothiazide, Allegra, dymista

Current Illness: None

ID: 1343252
Sex: F
Age: 45
State: MI

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

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

Lab Data:

Allergies: Sulfa drugs

Symptom List:

Symptoms: Throat felt tight when I swallowed. Chills, severe headache, body aches, muscle weakness, menstral cramps (without menses), nausea, loss of appetite. Rash on roof of mouth.

Other Meds: None

Current Illness: None

ID: 1343253
Sex: M
Age: 27
State: CA

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

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: 5 min after shot. Warming sensation spread from arm across my entire body. Felt nauseous and blacked out. Passed out face first on the floor. No fear of needles. I have records of getting previous flu vaccines without passing out. I have been experiencing hot flashes, nausea and fatigue for 6 days now.

Other Meds: N/A

Current Illness: N/A

ID: 1343254
Sex: F
Age: 49
State: MN

Vax Date: 05/21/2021
Onset Date: 05/21/2021
Rec V Date: 05/24/2021
Hospital:

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

Lab Data:

Allergies: morphine, ceclor, erythromyicen

Symptom List:

Symptoms: body aches, temp of 101 even while alternating advil and tylenol, swollen lymph nodes, red painful swollen rash on arm that burns and itches

Other Meds: Metformin, zyrtec ,hydrochlorothiazide

Current Illness: none

ID: 1343255
Sex: M
Age: 20
State: PA

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

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Immediately following vaccination, patient began to feel lightheaded. He was guided to the floor then lost consciousness Smelling salts were administered. LOC approx 30 sec. Pt was brought back to Med Obs 1 via liter, given water and crackers. Vitals 10:44 HR 82, Resp 16, BP 147/67 O2 100, Vitals 1050 HR 80 Resp 16 BP 134/64 O2 100 Pt discharged to home himself h/o LOC with vaccines as child

Other Meds: None

Current Illness: none

ID: 1343256
Sex: M
Age: 51
State: TX

Vax Date: 04/07/2021
Onset Date: 04/11/2021
Rec V Date: 05/24/2021
Hospital:

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

Lab Data:

Allergies: NONE

Symptom List:

Symptoms: DURING REM SLEEP - NIGHT TERROR; HALLUCINATION; DIFFICULTY WAKING UP FROM DREAM; PHYSICAL DURING DREAM. REQUIRED TRIP TO EMERGENCY ROOM FOR STITCHES IN ARM AND INJURED FOOT.

Other Meds: LOSARTAN, GABAPENTIN, NORTRIPTYLINE, MULTIVITAMIN, CALCIUM, B-COMPLEX VITAMIN

Current Illness: NONE

ID: 1343257
Sex: F
Age: 63
State: AL

Vax Date: 04/20/2021
Onset Date: 04/22/2021
Rec V Date: 05/24/2021
Hospital:

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

Lab Data:

Allergies: Penicillin, Sulfur

Symptom List:

Symptoms: 2 days after 2nd shot, left side of neck swelled, lymph nodes in that area also swollen and hard. Neck is still swollen as of today may 24, over a month later. I have a tingling sensation though out the day. It started going up my neck. The tingling now goes up my neck, into my left arm and down into my chest.

Other Meds: Percocet, Tizanidine, calcium carb vit D3, Synthroid, Meloxicam, simvastatin, Lotrel, sertraline, montelukast, certirizine, tolterodine, gabapentin, lidocaine patches, fluticasone nasal spray, indomethacin, colchicine

Current Illness: Seasonal allergy problems

ID: 1343258
Sex: F
Age: 54
State: NC

Vax Date: 05/06/2021
Onset Date: 05/06/2021
Rec V Date: 05/24/2021
Hospital:

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

Lab Data:

Allergies: Penicillin products, ham, blue cheese, bee stings, mold, mildew, all pollens/trees/grasses,

Symptom List:

Symptoms: 10 mins post, severe syncope, and headache, severe ringing in ears * Severe headaches every morning * continued moderate ringing ears * Severe dehydration every morning * Frequent heartburn * lungs tight, a bit shallower breathing * Vertigo all day and night * Chills and hot flashes but no fever * Nausea every morning until I eat; have to eat every few hours to avoid nausea * random dry raspy cough * 100+oz. H20 daily+powerade(S/F)p * urine near clear by afternoon * using RR 3x/night, but avg 5a wake-up with severe headache & PARCHED with very dry mouth

Other Meds: Zyrtec allergy meds

Current Illness: None

ID: 1343259
Sex: F
Age: 52
State: NC

Vax Date: 05/20/2021
Onset Date: 05/21/2021
Rec V Date: 05/24/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

Symptom List:

Symptoms: Fever, Chills, Nausea, Headache, Hives (rash) on lower extremities - started at 4:30 a.m. following day (about 13 hours after injection), lasted approximately two days. Hives still present day 3.

Other Meds: Lisinopril Lunesta

Current Illness:

Total 2021 VAERS Injuries: 599,999

Page last modified: 03 October 2021 5:28pm