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: 1358165
Sex: F
Age: 22
State: PA

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

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: Pt reported nausea and "feeling hot" following injection. VSS. Oral fluids administered. Repeat VSS. Symptoms resolved. Pt released and escorted to exit.

Other Meds: N/A

Current Illness: N/A

ID: 1358166
Sex: F
Age: 44
State: CA

Vax Date: 04/09/2021
Onset Date: 04/10/2021
Rec V Date: 05/28/2021
Hospital:

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

Lab Data:

Allergies: Sulfa, phenegren, codiene, morphine

Symptom List:

Symptoms: More severe Headaches, chest tightness, blurry vision, blood shot eyes, stomach pain, back pain, leg pain (back of knees, dizziness off balance.

Other Meds: Vitamin D

Current Illness: Headaches and chest pains from having Covid-19 prior

ID: 1358167
Sex: F
Age: 24
State: NY

Vax Date: 01/29/2021
Onset Date: 01/31/2021
Rec V Date: 05/28/2021
Hospital:

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

Lab Data:

Allergies: Insect Bites Neomycin Seasonal Cats

Symptom List:

Symptoms: I broke out in full body hives for 6 days or so. I started taking prednisone after first day. I took 40mg of that for 2 days and then 50mg 3 days. I was recommended to take Zyrtecs, I took that in the first 3 days.

Other Meds: Flonafe 1-2 cups per day as needed

Current Illness: None

ID: 1358168
Sex: F
Age: 32
State: KY

Vax Date: 01/26/2021
Onset Date: 05/25/2021
Rec V Date: 05/28/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient tested positive covid on 5/25/2021 after being fully vaccinated

Other Meds:

Current Illness:

ID: 1358169
Sex: F
Age: 66
State: GA

Vax Date: 01/20/2021
Onset Date: 01/28/2021
Rec V Date: 05/28/2021
Hospital:

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

Lab Data:

Allergies: Penicillin, Phenobarbital

Symptom List:

Symptoms: welt about the size of a quarter at the injection site down to elbow thick red, thick, hot, itching and stinging. Raised area about 4-5 inches wide and 6-8 inches long. It took a month for the welt to go away

Other Meds: Dont want to list medication because it wasn't the cause of the reaction

Current Illness: none

ID: 1358170
Sex: F
Age: 28
State: NY

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

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

Lab Data:

Allergies: Allergic to most antibiotics, primarily penicillin

Symptom List:

Symptoms: Moderate Fever: starting ~5 hrs after Dose 2 injection and lasting 72hrs with gradual decline Chills & Cold Sweats: starting ~5 hrs after Dose 2 injection and lasting 48hrs, on and off Site Pain: starting ~12 hrs after Dose 2 injection and lasting 24hrs Moderate Headache / Mild Migraine: starting ~12 hrs after Dose 2 injection and lasting 72hrs TINNITUS: accompanied headache/migraine aforementioned

Other Meds: Topical steroids for dyshidrotic eczema

Current Illness:

ID: 1358171
Sex: M
Age: 28
State: NV

Vax Date: 04/07/2021
Onset Date: 04/08/2021
Rec V Date: 05/28/2021
Hospital:

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

Lab Data:

Allergies: Poly trim as a child

Symptom List:

Symptoms: Fatigue w/in 12 hrs that lasted more than 2 days, after which fatigue continues even now. We believe he fainted while operating a scooter which resulted in an emergency room visit. Complains of chest pain. Concerned this could be myocarditis- he?s on government insurance so medical access is limited.

Other Meds: None

Current Illness: None; however, he has Usher?s Syndrome. As a child (12) he was diagnosed with mitral valve prolapse and enlarged heart. No follow-up on the condition.

ID: 1358172
Sex: M
Age: 25
State: OH

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

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

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: syncope

Other Meds: No medication

Current Illness: None

ID: 1358173
Sex: F
Age: 42
State: OR

Vax Date: 05/26/2021
Onset Date: 05/26/2021
Rec V Date: 05/28/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Pt reports probable seizure during sleep on night of 5/26/21-woke up in morning in "wet bed" due to urinary incontinence, one of the signs that she has had a seizure. States seizures usually only occur about once a year and can't remember when last seizure was but probably over a year ago. Also had right foot pain, possibly due to trying to get out of bed during night, no other sx.

Other Meds: Keppra

Current Illness:

ID: 1358174
Sex: M
Age: 24
State: ME

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

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

Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: Began experiencing pain (6/10) in the center backside area of my neck. Headache was (4/10) and enveloped my entire head. Fever was ~101 (can not recall exact temperature); went between being overly hot and sweating to chills and shivering . It all appeared to fade away around the same time ~27 hours after vaccination (5/12/2021) between 6-7pm.

Other Meds: One-A-Day Men's Complete Multivitamin

Current Illness:

ID: 1358175
Sex: F
Age: 45
State: KS

Vax Date: 02/26/2021
Onset Date: 05/07/2021
Rec V Date: 05/28/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Left-sided facial twitching

Other Meds: Smarty pants multivitamin

Current Illness: none

ID: 1358176
Sex: F
Age: 65
State: OH

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

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

Lab Data:

Allergies: betadine, all foods to diff degrees, trees grass , cigarettes. tb testing hepatitis vaccine. dogs

Symptom List:

Symptoms: 15 min after injection first vaccine nerve like pain under shoulder blades into rt shoulder... first 48 hrs unbearable like nerve pain then at end of 4 day pain gone. the 13 day i have several chills no temp tingling pricking over entire body which worsen with activity at its worse 13 and 14 day and the past 3 days intermittanty but still present.

Other Meds: tylenol es prn, citra cal, zinc. multi vit, seakelp, lubricant eye drops allergy eye drops. benadryl hs.magnesium.

Current Illness: diab diet control, cpap for apnea, low bp, over weight,

ID: 1358177
Sex: F
Age: 59
State: MA

Vax Date: 05/24/2021
Onset Date: 05/25/2021
Rec V Date: 05/28/2021
Hospital:

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

Lab Data:

Allergies: Compazine

Symptom List:

Symptoms: My eyes are noticeably more sensitive to sunlight and artificial light. I did not have this experience before my Moderna vaccine #2.

Other Meds: None.

Current Illness: None.

ID: 1358178
Sex: M
Age: 33
State: VA

Vax Date: 05/24/2021
Onset Date: 05/25/2021
Rec V Date: 05/28/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Severe Migraine Flu-like Symptoms Nausea Fever Chills

Other Meds: None

Current Illness: None

ID: 1358179
Sex: F
Age: 42
State: WI

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

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

Lab Data:

Allergies: Unknown

Symptom List:

Symptoms: Client rec'd vaccine at 9:05. Around 9:15 she verbalized that her heart rate was going very fast, that her chest was tight, and that she was having trouble moving her hands. Client appeared very pale and was breathing rapidly. Emergency response was called and 0.3 mL dose of epinephrine was administered around 9:20am. BP was 110/68, HR was 95, pulse ox was 96%, respiration elevated. Emergency response arrived and vitals remained stable. Client decided not to be transported to a hospital. Client was alert and oriented the entire duration of her reaction. Client was ambulatory when she left the clinic around 10:30am.

Other Meds: Unknown

Current Illness: Unknown

ID: 1358180
Sex: F
Age: 33
State: MN

Vax Date: 04/16/2021
Onset Date: 05/07/2021
Rec V Date: 05/28/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Cerebellitis - patient presented with ataxic dysarthria , dizziness and an increase in neck and head pain. Spinal fluid analysis demonstrated 52 white cells, 2 red cells. mild cerebellar enhancement on MRI. Infectious screen and autoantibody screen negative. Patient is spontaneously improving Without therapy.

Other Meds:

Current Illness: chronic neck pain

ID: 1358181
Sex: F
Age: 56
State: OH

Vax Date: 04/17/2021
Onset Date: 04/26/2021
Rec V Date: 05/28/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Nine days after, extreme chills, headache, hip and back pain. Progressively worsened to where I was unable to walk. One week later I was unable to move my arms above the elbow. After 3 appts with my Primary Care, a rheumatologist and a vascular surgeon, I was diagnosed with Polymyalgia Rheumatica and Temporal Arteriyis. Being treated with high dose steroids (60 MG daily) and Actemra injections.

Other Meds: Multi vitamin, 15 MG meloxicam, estradiol HRT

Current Illness: None

ID: 1358182
Sex: F
Age: 54
State: FL

Vax Date: 05/25/2021
Onset Date: 05/26/2021
Rec V Date: 05/28/2021
Hospital:

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

Lab Data:

Allergies: None.

Symptom List:

Symptoms: She got her vaccine, it hurt right away. The next day she had swelling, knot at the injection site, and it is red around it. She still has this reaction. She has not taken anything for it. It has not changed and staying the same as it was.

Other Meds: Blood pressure medicine.

Current Illness: None.

ID: 1358183
Sex: M
Age: 59
State: MD

Vax Date: 03/22/2021
Onset Date: 05/04/2021
Rec V Date: 05/28/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Likely myocarditis. Elevated troponin, clean cath. Started on colchicine.

Other Meds:

Current Illness: possible pancreatic cancer

ID: 1358184
Sex: F
Age: 25
State: IN

Vax Date: 05/26/2021
Onset Date: 05/27/2021
Rec V Date: 05/28/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: Flu like symptoms Joint pain Sinuous and ear pressure Mild fever All started at about 9am the 27th of May Extra strength Excedrin taken to every 6 hours as needed All symptoms still present as of 1pm May 28th just much more mild and manageable without pain medication

Other Meds: Zoloft Atarax

Current Illness: N/A

ID: 1358185
Sex: F
Age: 70
State: IN

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

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

Lab Data:

Allergies: Seasonal and dermatitis allergies

Symptom List:

Symptoms: Headache...muscle aches and pain...fever...nausea...for day and a half. The second dose was worse and lasted almost 3 days.

Other Meds: Metoprolol tartrate.

Current Illness: None

ID: 1358186
Sex: M
Age: 59
State: NY

Vax Date: 03/20/2021
Onset Date: 04/20/2021
Rec V Date: 05/28/2021
Hospital: Y

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Unprovoked bilateral pulmonary embolism Impression: multiple bilateral pulmonary emboli and proximol of which are in the right interlobar right middle lobar, right lower lobar and left lobar arteries. there is also multiple bilateral segmental pulmonary emboli. there is no CT evidence of pulmonary arterial hypertension or right sided heart strain however recommend echocardiogram

Other Meds: none

Current Illness: none

ID: 1358187
Sex: F
Age: 49
State: IN

Vax Date: 05/26/2021
Onset Date: 05/26/2021
Rec V Date: 05/28/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List:

Symptoms: Extreme exhaustion, severely painful arm (injection arm), headache, body aches, dizziness.

Other Meds: None.

Current Illness: None.

ID: 1358188
Sex: M
Age: 18
State: CT

Vax Date: 05/05/2021
Onset Date: 05/07/2021
Rec V Date: 05/28/2021
Hospital:

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

Lab Data:

Allergies: mango

Symptom List:

Symptoms: after first dose, urticarial/welt rash after second doe, more diffuse urticarial rash with swelling of face, neck, hands and feet and scrotum

Other Meds: Lexapro 10 mg

Current Illness: none

ID: 1358189
Sex: F
Age: 71
State: NY

Vax Date: 03/18/2021
Onset Date: 03/31/2021
Rec V Date: 05/28/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: About two weeks after my shot I developed continuous ringing in both ears. I thought maybe I had wax in my ears and used an over the counter product which did not help. I then developed swollen glands in my neck and behind my left ear. . I made an appointment to see my PCP doctor to remove any ear wax and check out my glands.

Other Meds: Atorvastatin 10mg ; Multi Vitamin (Equate Complete Multivitamin adults 50+)

Current Illness: None

ID: 1358190
Sex: F
Age: 54
State:

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient experienced tingling of the tongue with a metallic taste in her mouth that began about 15 minutes after getting the vaccine.

Other Meds:

Current Illness:

ID: 1358191
Sex: F
Age: 21
State:

Vax Date: 02/26/2021
Onset Date: 02/27/2021
Rec V Date: 05/28/2021
Hospital:

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

Lab Data:

Allergies: certain laundry detergent

Symptom List:

Symptoms: Hives x 2 months

Other Meds:

Current Illness:

ID: 1358192
Sex: F
Age: 17
State: TX

Vax Date: 03/22/2021
Onset Date: 03/22/2021
Rec V Date: 05/28/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient under age 18 was vaccinated with Moderna, which is a vaccine error, on 3/22/2021 008B21A. Per data system, this was her second vaccine, with no record of a first vaccine. Troubleshooting: Scribe and vaccinator did not validate age; screeners at the beginning of the process did not ask or turn away on a Moderna-only day. Second vaccine would have been given per standing orders. Unreported as error, found in data mining. Age restriction/confirmation rules were put into effect after the date of the first vaccine to prevent underage vaccines.

Other Meds:

Current Illness:

ID: 1358193
Sex: F
Age: 61
State: AL

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

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

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: Patient complained of being dizzy, couldn't breath, unable to move L arm. L side of back numb also complained of legs hurting but stated legs had hurt all week. BP 138/70 HR 81 O 2 sat 97% glucose per fingerstick 212 equal grip, PEARL, Respirators 22 Transported to local hospital via ambulance for health care

Other Meds: Metformin

Current Illness: pain in legs and left side back pain

ID: 1358194
Sex: F
Age: 58
State: MI

Vax Date: 04/01/2021
Onset Date: 05/26/2021
Rec V Date: 05/28/2021
Hospital:

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

Lab Data:

Allergies: Sulfa, blue dyes, nickel, mold, dust mites, other seasonal allergens

Symptom List:

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA Pain at injection site (left arm) within 1 hour of being bitten twice on left hand by unknown insect(s) while gardening. Bites were raised, red, extremely itchy, with allergic ring around them. Left arm pain was intense x 18 hours then just painful to touch.

Other Meds: Osteo Biflex Triple Strength, Kirkland Calcium Citrate Magnesium and Zinc, Aleve, Women?s 50+ MVI, Super-B Complex, Vit D3, Claritin, Kirkland Sleep Aid

Current Illness: Seasonal sinus issues

ID: 1358195
Sex: F
Age: 31
State: IN

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Severe fatigue, loss of appetite, aches and pain

Other Meds: Tri femynor Losartin

Current Illness:

ID: 1358196
Sex: F
Age: 31
State: CA

Vax Date: 04/21/2021
Onset Date: 04/21/2021
Rec V Date: 05/28/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Moderna COVID-19 Vaccine EUA fatigue, headache, muscle aches

Other Meds: None

Current Illness: None

ID: 1358197
Sex: M
Age: 45
State: MI

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

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

Lab Data:

Allergies: NKA

Symptom List:

Symptoms: Approximately 5 minutes after administering the vaccine, he was waiting in his car with a friend, He became unresponsive and appeared to have lost consciousness. Upon arrival to the vehicle he looked to be having a seizure. Did not respond to verbal commands but did respond to sternal rub. EMS called. BP 118/58 and pulse 60. He was diaphoretic and pale. EMS arrived and during their interview he had another more intense and longer seizure. Transported to the Emergency Room.

Other Meds: None

Current Illness: None. History of Seizure Disorder

ID: 1358198
Sex: F
Age: 89
State: MI

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

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

Lab Data:

Allergies: Aspirin;Penicillins

Symptom List:

Symptoms: developed rash on the injection site and stayed for 3 days taken Benadryl 25mg capsule not gone

Other Meds: metoprolol,lasix,synthroid,plavix,xanax,multivitamin

Current Illness: none

ID: 1358199
Sex: F
Age: 78
State: LA

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: The patient received a 3rd dose of Moderna by mistake. No adverse advents were reported

Other Meds:

Current Illness:

ID: 1358200
Sex: F
Age: 37
State:

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Pt. received second vaccine, complains immediately after heart is racing. Pt. states she did not eat breakfast. Pt. cleared by EMS to finish observation and then pt. exited facility.

Other Meds:

Current Illness:

ID: 1358201
Sex: F
Age: 32
State: OR

Vax Date: 05/11/2021
Onset Date: 05/12/2021
Rec V Date: 05/28/2021
Hospital:

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

Lab Data:

Allergies: Birth Control - Progesterone allergy

Symptom List:

Symptoms: The day after my shot I felt fine, my arm was really sore but I worked out and moved it a lot. Around 5pm that night I was on a conference call with my colleagues when I started experiences facial twitching and a loss of control on the right side of my face near my mouth. I was having trouble annunciating and was slurring my words when speaking. My colleagues were able to visually see the twitching happening over the zoom call. The issue resolved itself on its own within 10 minutes. I have had no other symptoms. I have my second dose scheduled for this Tuesday but I am really afraid that I it will be worse. Please reach out and let me know if its safe to process with the second dose.

Other Meds: Tylenol

Current Illness: None

ID: 1358202
Sex: F
Age: 54
State: AZ

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

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: listed in priior page. im tooo achy to repeat

Other Meds: none I took Tylenol when i got home after the shot to try to avoid a fever - then never got a fever til this morning at 4am. I have a temp of 100.4 and a massive headache, my entirebody aches

Current Illness: none

ID: 1358203
Sex: M
Age: 60
State: GA

Vax Date: 05/04/2021
Onset Date: 05/26/2021
Rec V Date: 05/28/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: 21 days after my 2nd Pfizer shot in my Left Arm, I started having an on going "tingling" sensation from my left elbow down into my left hand. Now after 2+ days I still have a tingling sensation.

Other Meds: None

Current Illness: None

ID: 1358204
Sex: F
Age: 17
State: TX

Vax Date: 04/26/2021
Onset Date: 04/26/2021
Rec V Date: 05/28/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient under age 18 was vaccinated with Johnson and Johnson/Moderna, which is a vaccine error. (If the person may receive a second dose, it will be per policy off-label use for a 17-year old). Troubleshooting: Scribe and vaccinator did not validate age; screeners at the beginning of the process did not ask or turn away. Parent validated age as 18. Unreported as error, found in data mining.

Other Meds:

Current Illness:

ID: 1358205
Sex: F
Age: 83
State: OH

Vax Date: 03/24/2021
Onset Date: 03/24/2021
Rec V Date: 05/28/2021
Hospital:

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

Lab Data:

Allergies: Levaquin, Myrrbetriq, Statins, Zofran, Sulfa

Symptom List:

Symptoms: Shakes, chills, temperature, joint and muscle ache and pain, nausea, vomiting, fatigue.

Other Meds: amlodipine, lisinopril-hydrochlorothiazide, ipratropium bromid

Current Illness: none

ID: 1358206
Sex: F
Age: 80
State: IN

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

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

Lab Data:

Allergies: PENICILLEN SULFA DRUGS TETNAS

Symptom List:

Symptoms: Swelling and peeling of lips, peeling and soreness inside mouth, Diarrhea, upset stomach ache, dizziness

Other Meds: ATORVASTATIN 10mg ESTRIDIOL 5 mg

Current Illness: none

ID: 1358207
Sex: F
Age: 87
State: FL

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

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

Lab Data:

Allergies: codeine

Symptom List:

Symptoms: Patient received a janssen shot from another facility on 03-16-21. Pt did not tell the pharmacy this was her second shot and wanted to get the Johnson and Johnson. Her caregiver called us to inform pharmacy that this in fact was her second shot of Janssen. Her first shot was at ESF-8 COVID clinic on 03-16-21.

Other Meds:

Current Illness:

ID: 1358208
Sex: F
Age: 38
State: SC

Vax Date: 05/08/2021
Onset Date: 05/09/2021
Rec V Date: 05/28/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: Lightheadedness, throbbing headaches, musuclar achiness, tightness in feet, numbing and tingling in left arm where injection was received. Symptoms lasting 3 weeks after vaccine.

Other Meds: B Complete vitamin, Spironolactone

Current Illness: Thrush

ID: 1358209
Sex: F
Age: 21
State: IN

Vax Date: 05/26/2021
Onset Date: 05/26/2021
Rec V Date: 05/28/2021
Hospital:

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

Lab Data:

Allergies: Legume allergy

Symptom List:

Symptoms: Severe fever, muscle pain, headache, and chills. From time is started as mentioned and until now still.

Other Meds: N/A

Current Illness: N/A

ID: 1358210
Sex: F
Age: 34
State: PA

Vax Date: 05/21/2021
Onset Date: 05/22/2021
Rec V Date: 05/28/2021
Hospital:

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

Lab Data:

Allergies: Sulfa Bee Strings Capsasin Codeine

Symptom List:

Symptoms: Saturday at 1200 I got body aches, and chills, and sweats, and went to sleep Sunday 0700 woke up, still tired but managable with ibuprofen Monday 0600 wake up with blisters/cold sores on the L top lip, applied abreva Monday 1200 noticed swelling on the L side of face Monday 1400 started tingling and numbness in the face Was taken into ER at 1530 and discharged around 1645, sent home to pick up antibiotics Been taking them since Monday evening at 1800, every 4 hours awake No relief in the amount of pain in the sores on the face and still have tingling sensation.

Other Meds: Levothyroxine 50mcg daily Lexapro 20Mg daily Levemir FlexPen 10 Units daily

Current Illness: Miscarriage

ID: 1358211
Sex: M
Age: 53
State: AZ

Vax Date: 04/29/2021
Onset Date: 05/22/2021
Rec V Date: 05/28/2021
Hospital:

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

Lab Data:

Allergies: no Allergies

Symptom List:

Symptoms: rashes on legs and arms

Other Meds: one a day vitamin and 81 mg Aspirin

Current Illness: no illnesses

ID: 1358212
Sex: F
Age: 31
State:

Vax Date: 05/24/2021
Onset Date: 05/25/2021
Rec V Date: 05/28/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: MODERNA COVID-19 VACCINE EUA day of- extreme fatigue. neck muscle pain next day- nausea, body ache/ muscle ache, dizziness, headache, extreme fatigue, injection site tenderness, pain in neck muscle, pain in front shin muscle, cramps, sore throat / sore sinuses 2 days after- weakness, headache, skin rash on face, rash on neck, sore sinuses/ sore throat,foggy cognitive acuity 3 days after- sporadic headache, pain neck muscle, injection site tenderness , cramps, foggy cognitive acuity , rash on face, rash on leg 4 days after- rash on face, rash on neck , rash on leg

Other Meds: zyrtec, singulair

Current Illness:

ID: 1358213
Sex: F
Age: 12
State: TN

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

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

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: C/o headache approximately 20 mins following administration.

Other Meds: NONE

Current Illness: NONE

ID: 1358214
Sex: F
Age: 17
State: MA

Vax Date: 03/06/2021
Onset Date: 03/06/2021
Rec V Date: 05/28/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: In a retrospective chart review it was determined that the patient received the Jansen vaccine at age 17. Vaccine is approved for 18 years of age and older.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 599,999

Page last modified: 03 October 2021 5:28pm