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: 1392726
Sex: M
Age: 52
State: NY

Vax Date: 05/01/2021
Onset Date: 06/01/2021
Rec V Date: 06/11/2021
Hospital:

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

Lab Data:

Allergies: Lithium

Symptom List:

Symptoms: Swollen left hand

Other Meds: Metoprolol, benztropine, divalproex

Current Illness: Knee pain

ID: 1392727
Sex: M
Age: 69
State: WA

Vax Date: 03/04/2021
Onset Date: 03/11/2021
Rec V Date: 06/11/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

Symptom List:

Symptoms: Was diagnosed with PMR - Polymyalgia Rheumatica following weeks of growing aches and pains, and eventual loss of use and strength in raising arms and severe hip and groin pain. Tried different pain meds, thought I had really become out of shape, hurting from exercise and other activities. Sought Acupuncture and anti- inflammatory herbs and vitamins before getting into see my regular doctor. I saw the Doctor right after getting the second vaccine - waited almost two weeks before getting on Prednisone - after 24 hours of 40 mg, had great relief within a few days regained much of movement and abilities. Reduced to 20 mg, then 15, 12.5 and now on 10 mg of Prednisone. Have some recurring tightness and pain.

Other Meds: Dupiexent (which was also a suspicious component initially) - since stopped; Atorvastatin - also stopped after PMR; Asprin; Metropoloa; Buspar; Tamsulson - a variety of herbs and vitamins, changing daily

Current Illness:

ID: 1392728
Sex: F
Age: 68
State: AZ

Vax Date: 05/14/2021
Onset Date: 05/14/2021
Rec V Date: 06/11/2021
Hospital:

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

Lab Data:

Allergies: Bactrim, Codeine, Penicillin

Symptom List:

Symptoms: Patient reported later that day that her finger tips started to change to a dark purple/black color that lasted for a couple hours. Other than that no other side effects were reported

Other Meds:

Current Illness:

ID: 1392729
Sex: F
Age: 38
State: KY

Vax Date: 04/27/2021
Onset Date: 04/29/2021
Rec V Date: 06/11/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: About 30 hours after the injection my arm was swollen and hot to the touch, shoulder, elbow and wrist joints of right arm were very sore and hurt to move. Swelling decreased over the next 3 days, however the soreness and pain in the joints has not decreased and some days increases exponentially until i cannot bend or move my arm.

Other Meds: Lisinopril 40mg 1x daily, Propranolol 100mg daily, Lamictal 50 mg daily, Adderall 25mg daily

Current Illness:

ID: 1392730
Sex: F
Age: 38
State: TX

Vax Date: 04/11/2021
Onset Date: 04/18/2021
Rec V Date: 06/11/2021
Hospital:

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

Lab Data:

Allergies: Allergic to Penicillin

Symptom List:

Symptoms: At the exact moment I received the injection my vision immediately blurred and remained blurred for about 30 seconds. I thought maybe I was becoming light headed (even though never have before). I blinked a few times and sat there for a about another 30 seconds after the blurriness stopped. I was able to walk and waited about 10 minutes before leaving the site - until the blurry feeling stopped. About a week later I started noticing my right eye would go blurry when doing everyday activities. My left eye slightly- but always my right eye. I tried wearing blue light glasses and such until I finally decided to go to the doctor. I am a very healthy person and have never had vision problems since surgery about 10 years ago.

Other Meds: Women's One A Day Vitamin

Current Illness: None.

ID: 1392731
Sex: F
Age: 53
State: CA

Vax Date: 03/10/2021
Onset Date: 03/11/2021
Rec V Date: 06/11/2021
Hospital:

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

Lab Data:

Allergies: Sulfa drugs any kind of codeine hydrocodone Erythromycin Singulair

Symptom List:

Symptoms: After about 35 hours after I received the 1st vaccine, I noticed I was feeling very tired and felt like I couldn't catch my breath. Later that day, I checked my pulse and I was having random episodes of increased heart rate. These bouts eventually went away, but I mentioned this to the Dr that was available for consult when I went to get my 2nd vaccine. I wasn't sure it was related to the vaccine or not, but I thought it was worth mentioning. The Dr. said that everyone reacts differently to vaccines and it could be that it was my body immune response to the vaccine, but that since the symptoms eventually went away that there was nothing to be concerned about. However, about 2 days after my second vaccine (on 4/7/2011) I experienced the same episodes of rapid heart rate. I waited for about a month, but the episodes continued. I called and had an EKG and a 24-hr EKG with monitor. The 24-hr EKG showed that I was experiencing infrequent PVC's and AVC's. No one has seemed concerned, I have started taking a multivitamin just in case it would help. I am going to reach out to them again, because these episodes leave me feeling tired out and out of breath.

Other Meds: Levothroid estrogen progesterone low dose zoloft--tapering off of this, so taking approximately 12 mg

Current Illness: none

ID: 1392732
Sex: M
Age: 51
State: TN

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Immediately after injection patient had a raised lump of about 1 inch, no redness, around injection site. Localized reaction, no other symptoms.

Other Meds:

Current Illness:

ID: 1392733
Sex: M
Age: 28
State: VA

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

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

Lab Data:

Allergies: n/a

Symptom List:

Symptoms: pt broke out in hives the next day and still today is still having hives. He believes it is due to vaccine

Other Meds: N/a

Current Illness: n/a

ID: 1392734
Sex: F
Age: 13
State: TX

Vax Date: 06/10/2021
Onset Date: 06/10/2021
Rec V Date: 06/11/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List:

Symptoms: Mom was aware that her daughter doesn't do well with needles. Her dad is the same way, per mom. Patient fainted in the immunization room. We gave her a granola bar and some water before the injection, as a preventative measure. She fainted a second time. Mom checker her BP and patient felt nauseous. She started jerking and 911 was called. EMTs said it was not a seizure, but a vasovagal jerk. Paramedics said to lay the person down after the patient started jerking. When she was stable enough to be moved, EMTs wheeled her to the door of the store.

Other Meds:

Current Illness: None

ID: 1392735
Sex: F
Age: 57
State: MD

Vax Date: 05/05/2021
Onset Date: 05/27/2021
Rec V Date: 06/11/2021
Hospital: Y

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

Lab Data:

Allergies: Fiorcet swells my lips

Symptom List:

Symptoms: I had heart problems first when I was given an EKG , And chest pains followed, as well as sickness for three days, then on May 27 at 3:00 am my eye whole socket , mainly behind my right eye started hurting tremendously and would not stop at all so I went to clinic and after testing they sent me to hospital where I was diagnosed as having a stroke. which affected my left side with weakness. And I have had a headache ever since May 27 that doesn't want to go away , Now I'm on a heart monitor until June 22 the day that it comes off. Im still having pain till today and weakness, I have been to two Hospital which kept me in the hospital From June 27 to June 29. I was given Morphine, Fiorcet,Tylenol, and they sent me home I have still been having pain and weakness so I went To a different Hospital they gave me Reglan, and Tylenol.

Other Meds: Goli, Oxycodone APAP-5.3 mg, Omeprazole-40mg, VIT D2-1.25mg, Aspirin -81mg, Cyclobenzaprine-10mg, Tylenol Arthritis ER 650mg, Hair skin and Nail vitamins-3000mcg of Biotin antioxidants

Current Illness: back pain,, hernia

ID: 1392736
Sex: M
Age: 17
State: IL

Vax Date: 06/08/2021
Onset Date: 06/08/2021
Rec V Date: 06/11/2021
Hospital:

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

Lab Data:

Allergies: UNKNOWN

Symptom List:

Symptoms: NO ADVERSE REACTION NOTED; CLIENT WAS 17 YEARS OLD AT TIME OF VACCINATION.

Other Meds: UNKNOWN

Current Illness: UNKNOWN

ID: 1392737
Sex: F
Age: 41
State: GA

Vax Date: 05/17/2021
Onset Date: 05/17/2021
Rec V Date: 06/11/2021
Hospital:

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

Lab Data:

Allergies: nkda

Symptom List:

Symptoms: patient complained that she had a rash for 4 days. She also stated that she had pain on the top right of her chest with some swelling. She went to urgent care and they are to be scheduling her for a CT scan. Finally urgent care stated that she was given blood pressure medication and she had no other history of hypertension.

Other Meds: unknown

Current Illness: anemia

ID: 1392738
Sex: F
Age: 33
State: MD

Vax Date: 01/14/2021
Onset Date: 02/02/2021
Rec V Date: 06/11/2021
Hospital: Y

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

Lab Data:

Allergies: penicillins

Symptom List:

Symptoms: possible NSTEMI or myocarditis cardiac cath, no stent needed. started on DAPT therapy for 1 year (clopidogrel and aspirin). along with atorvastatin and metoprolol discharged home

Other Meds: none

Current Illness:

ID: 1392739
Sex: F
Age: 74
State: NY

Vax Date: 01/24/2021
Onset Date: 01/25/2021
Rec V Date: 06/11/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: Minimal reaction at time of shot, salivary glands shut down 30 hours later, lasted 11 days, tongue swelling, could not swallow. Contacted ENT and allergist (allergist found no food allergy). Dissipated after 11 days. No medicine administered, specialists had her chew gum to produce some saliva, lost 12 pounds because hardly eat. Went to two specialists and an allergist

Other Meds: 3 Weeks Out of Lymphoma Chemotherapy (rexitan) and (bundermustin) at Time of , still had chemicals. Last chemo dose September 29th, 2020.

Current Illness: N/A

ID: 1392740
Sex: M
Age: 18
State: TX

Vax Date: 04/21/2021
Onset Date: 05/01/2021
Rec V Date: 06/11/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Pericarditis

Other Meds: None

Current Illness: None

ID: 1392741
Sex: F
Age: 27
State:

Vax Date: 06/08/2021
Onset Date: 06/09/2021
Rec V Date: 06/11/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Rash around site, bruising around site Reported "tightness" around the "heart area" but wasn't sure it was vaccine related.

Other Meds:

Current Illness:

ID: 1392742
Sex: F
Age: 36
State: IA

Vax Date: 03/12/2021
Onset Date: 05/13/2021
Rec V Date: 06/11/2021
Hospital: Y

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

Lab Data:

Allergies: allergic to nickel

Symptom List:

Symptoms: Miscarriage at 16 weeks was found on 05/13/2021. Due date was 10/31/2021. Ultrasound at 16 weeks showed baby with no heartbeat at approximately 12-13 weeks growth.

Other Meds: Vitamin C, vitamin D, prenatal vitamin

Current Illness:

ID: 1392743
Sex: F
Age: 39
State: NJ

Vax Date: 06/10/2021
Onset Date: 06/11/2021
Rec V Date: 06/11/2021
Hospital:

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

Lab Data:

Allergies: Tetracycline

Symptom List:

Symptoms: Hand twitching

Other Meds:

Current Illness:

ID: 1392744
Sex: M
Age: 69
State: IL

Vax Date: 03/24/2021
Onset Date: 04/13/2021
Rec V Date: 06/11/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Caused an increased pulse over 150. Went to see his doctor and ended up needing a procedure to correct the issue

Other Meds:

Current Illness:

ID: 1392745
Sex: F
Age: 55
State: TX

Vax Date: 03/12/2021
Onset Date: 03/12/2021
Rec V Date: 06/11/2021
Hospital:

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

Lab Data:

Allergies: Dylantin Midrin Taleptin NSAIDS Sulfa meds Penicillin Aspirin

Symptom List:

Symptoms: Her arm swelled up. She had headaches, chills, cough and extreme fatigue. It took 3 days for it to disappear. She did a virtual visit with urgent care. Stayed at home and rested for 3 days.

Other Meds: Lamotrigine 300mg 2xdaily Otesla 30mg 2xdaily Cymbalta 30mg 2xdaily Melatonin 20mg at night Tylenol 650mg as needed

Current Illness:

ID: 1392746
Sex: F
Age: 63
State: PA

Vax Date: 05/15/2021
Onset Date: 05/15/2021
Rec V Date: 06/11/2021
Hospital:

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

Lab Data:

Allergies: NA

Symptom List:

Symptoms: Extreme soreness in vaccination site . Shoulder blade and neck Migraine Headache Painful to lift or carry

Other Meds: Chlorthalidon Atorvastatin

Current Illness: NA

ID: 1392747
Sex: F
Age: 84
State:

Vax Date: 03/25/2021
Onset Date: 04/06/2021
Rec V Date: 06/11/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient presented to the ED and was subsequently hospitalized twice within 6 weeks of receiving COVID vaccination. First time was 04/06/2021 for shortness of breath/ COPD exacerbation. The second time was 04/17/2021 for Closed fracture of proximal end of left humerus.

Other Meds:

Current Illness:

ID: 1392748
Sex: F
Age: 63
State: NV

Vax Date: 06/03/2021
Onset Date: 06/10/2021
Rec V Date: 06/11/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List:

Symptoms: shortness of breath, shaking, diarrhea, and today feeling really bad with chills with low grade fever, headache, and very fatigued and it feels like a bad flu and cough.

Other Meds: No

Current Illness: No

ID: 1392749
Sex: F
Age: 27
State: IN

Vax Date: 05/11/2021
Onset Date: 05/15/2021
Rec V Date: 06/11/2021
Hospital: Y

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

Lab Data:

Allergies: No

Symptom List:

Symptoms: Vaginal bleeding began 4 days after my covid shot on May 11th and is still continuing to this day, June 11th. I passed 4 blood clots between the days May 28 and June 5th. On May 28 and May 29, I was bleeding uncontrollably from my vagina and having to changing pads and pants every two hours. THIS DOES NOT REFLECT MY NORMAL CYCLE OR PERIOD Next, perfectly healthy before May 11th and this covid shot i had to undergo appendix surgery and had to get my appendix removed, and during surgery it ruptured in my doctors hands. Before this shot, I was a completely healthy and active 27 year old female.

Other Meds: Multivitamin

Current Illness: No

ID: 1392750
Sex: F
Age: 42
State: TN

Vax Date: 05/29/2021
Onset Date: 05/30/2021
Rec V Date: 06/11/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Flu-like symptoms: chills, feeling feverish (though with no temperature), fatigue, body aches. GI bleeding (blood in stool) occurred one morning but then ceased

Other Meds: Vitamins

Current Illness:

ID: 1392751
Sex: M
Age: 73
State: ND

Vax Date: 12/30/2020
Onset Date: 04/18/2021
Rec V Date: 06/11/2021
Hospital: Y

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

Lab Data:

Allergies: Clindamycin

Symptom List:

Symptoms: Case was hospitalized. **second dose given 1/27/2021

Other Meds: unknown

Current Illness: unknown

ID: 1392752
Sex: F
Age: 14
State: ND

Vax Date: 06/10/2021
Onset Date: 06/10/2021
Rec V Date: 06/11/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Patient checked in stating as having Moderna as 1st dose. Was not checked in THOR. PHN states "there are two Moderna Vaccines today. I assumed patient was checked and double checked, they were not. Patient was roomed and given Moderna Vaccine.

Other Meds: none

Current Illness: none

ID: 1392753
Sex: F
Age: 58
State: MI

Vax Date: 03/19/2021
Onset Date: 03/20/2021
Rec V Date: 06/11/2021
Hospital: Y

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

Lab Data:

Allergies: UNKNOWN

Symptom List:

Symptoms: CLIENT EXPERIENCED AN INFECTION AROUND HER TRANSPLANTED KIDNEY; WAS HOSPITALIZED AND TREATED WITH A BROAD SPECTRUM ANTIBIOTIC; CLIENT STATED SHE ALSO TESTED POSITIVE FOR COVID WHILE SHE WAS HOSPITALIZED.

Other Meds: TRANSPLANST REJECTION DRUGS

Current Illness: UNKNOWN

ID: 1392754
Sex: F
Age: 38
State: IL

Vax Date: 02/01/2021
Onset Date: 04/01/2021
Rec V Date: 06/11/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: Heart Palpitations

Other Meds: L-Tyrosine, Claratin, Cranberry, Centrum

Current Illness: N/A

ID: 1392755
Sex: F
Age: 62
State:

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

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

Lab Data:

Allergies: NKA

Symptom List:

Symptoms: 62 YO female presents to the ED on 6/4 with complaints of non productive cough, chest congestion, post-nasal drip, nasal congestion, chills, SOB, sinus pressure, and sore throat. Denies fever. COVID rapid test results back negative the same day. Vitals were stable and pt was discharged with COVID-19 diagnosis. She is s/p J&J vaccination on 5/11.

Other Meds:

Current Illness:

ID: 1392756
Sex: F
Age: 75
State: UT

Vax Date: 02/24/2021
Onset Date: 02/26/2021
Rec V Date: 06/11/2021
Hospital:

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

Lab Data:

Allergies: Tetracycline, penicillin, sulfa, macrobid

Symptom List:

Symptoms: PMR got a lot wose and spread to my knees. Had to increase my prednisone dose from 5mg to 7.5 and I should have increased it even more, because pain at 7.5 was barely tolerable

Other Meds: Prednisone

Current Illness: PMR got MUCH worse and spread to knees. I am still not back to where I was before the 2nd vaccine shot

ID: 1392757
Sex: F
Age: 16
State:

Vax Date: 05/28/2021
Onset Date: 06/01/2021
Rec V Date: 06/11/2021
Hospital: Y

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Patient vaccinated on 5/28. She reported having pleuritic chest pain and hemoptysis 3 days after that lasted about a week. Then after she developed right leg pain and swelling x 3 days. Seen at our ER 6/11- studies show DVT of the common femoral vein and other veins of the right lower extremity. Also had b/l pulmonary emboli. Started on lovenox treatment and pending thrombectomy by vascular surgeons in 2 days. (In addition she also had admitted to OCP use for a month prior to this event; no reported FH of clotting disorders)

Other Meds: Was taking tylenol q4 for 3-4 days prior to today for pain Also took 1-2 doses of naproxen at home OCP use for a month prior to today

Current Illness: none

ID: 1392758
Sex: F
Age: 47
State: MO

Vax Date: 03/15/2021
Onset Date: 06/04/2021
Rec V Date: 06/11/2021
Hospital: Y

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

Lab Data:

Allergies: unknown

Symptom List:

Symptoms: symptom onset 05/25- cough , SOB, headache, poor appetite, abdominal discomfort.

Other Meds: unknown

Current Illness: unknown

ID: 1392759
Sex: M
Age: 22
State: NC

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient had hx of feeling dizzy/passing out following vaccination as indicated on consent form. Patient began feeling dizzy and sweaty after administration, but during counseling. Patient passed out in chair and urinated. Patient was awoken and given water, then requested to wait while a family member could come to pick him up with a change of clothes. Patient felt well enough to leave with father approximately an hour after fainting.

Other Meds:

Current Illness:

ID: 1392760
Sex: F
Age: 49
State: CT

Vax Date: 05/21/2021
Onset Date: 05/21/2021
Rec V Date: 06/11/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Right after vaccination of second dose participants' eyes rolled back of head and she lost consciousness. EMS on site and several nurses right at pt's side. Vitals were taken and an ambulance was called. Pt transported to local emergency department.

Other Meds:

Current Illness:

ID: 1392761
Sex: M
Age: 55
State: VA

Vax Date: 04/17/2021
Onset Date: 04/18/2021
Rec V Date: 06/11/2021
Hospital:

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

Lab Data:

Allergies: Beef, Keflex, Amoxicillin, Penicillin

Symptom List:

Symptoms: Shingles outbreak, Nerve damage, severe exhaustion

Other Meds: NA

Current Illness: NA

ID: 1392762
Sex: F
Age: 43
State: TX

Vax Date: 03/01/2021
Onset Date: 04/01/2021
Rec V Date: 06/11/2021
Hospital: Y

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

Lab Data:

Allergies: Hydrocodone,morphine,latex

Symptom List:

Symptoms: Extreme fatigue, heart pains, dizziness,foggy head, heart attack, blood clots and the list goes on

Other Meds: Pepcid

Current Illness: None

ID: 1392763
Sex: F
Age: 23
State: NJ

Vax Date: 01/18/2021
Onset Date: 03/28/2021
Rec V Date: 06/11/2021
Hospital:

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

Lab Data:

Allergies: Vancomycin .

Symptom List:

Symptoms: It started with a sore throat. I am prone to strep but when I tested it was negative. I went to urgent care on 03/29 and 03/31 and they said I had an ear infection and fever (101.5) and so I did medication for 2 days with no improvement. I went back and got a steroid. I was better after a week. I did have a headache at the beginning after I received my vaccine on 01/19/2021.

Other Meds: Zoloft, Trazadone, Buspirone, Daily Multivitamin.

Current Illness: None.

ID: 1392764
Sex: F
Age: 17
State: CA

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

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Pt given 1st Moderna vaccine at 17 years old. No adverse reaction

Other Meds: none

Current Illness: none

ID: 1392765
Sex: M
Age: 16
State: SC

Vax Date: 06/08/2021
Onset Date: 06/10/2021
Rec V Date: 06/11/2021
Hospital: Y

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

Lab Data:

Allergies: TAGAMET Bismuth

Symptom List:

Symptoms: patient began having chest pain on 6/10 that progressively worsened over the past 24 hours. He was diagnosed with pericarditis and costochondritis. We have started colchicine and ibuprofen and will monitor overnight.

Other Meds: NONE

Current Illness: NONE

ID: 1392766
Sex: F
Age: 32
State: OH

Vax Date: 04/02/2021
Onset Date: 05/28/2021
Rec V Date: 06/11/2021
Hospital: Y

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

Lab Data:

Allergies: Advil- facial swelling Latex-Urticaria Oxycodone- Urticaria

Symptom List:

Symptoms: Patient went to the ER on 5/28/2021 after 2 weeks of calf pain, found t have DVT/PE

Other Meds: OTC B12, Benadryl OTC 25 mg occasionally

Current Illness: Anxiety Obesity

ID: 1392767
Sex: F
Age: 53
State: MA

Vax Date: 04/30/2021
Onset Date: 05/12/2021
Rec V Date: 06/11/2021
Hospital:

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

Lab Data:

Allergies: gluten (celiacs), bactram, eggplant

Symptom List:

Symptoms: I started getting headaches, which is highly unusual because I NEVER get headaches. Typically I get a headache every 5 years or less, and usually only if my nose is completely stuffed up with a cold. The headache started on Wed night and kind of came and went, but even when it was gone I just didn't feel right. No other cold symptoms, just headache and some fatigue. On Friday I made the vaers report (I think) and contacted my PCP and she did not have any available openings for me to come in so she referred me to walk in clinic. They said they couldn't do anything, and told me to keep monitoring it, and if it persisted to go to the emergency room. On Sunday evening I was still having the headaches so I went to the ER. They did some blood tests, everything was normal, so I left. On Monday I was talking with a friend about what happened, and she said she was having headaches too, but she knew hers were from lilacs which she has been allergic to for many years. I have never been allergic to lilacs or any flowers, but I did have a spray of lilacs in my house and when I thought about it I realized that the headaches started the same night that I brought home the lilacs. So I got rid of the lilacs and the headaches stopped. So the headaches were not directly due to the vaccine, but I am wondering if the vaccine made me more sensitive to allergens??

Other Meds: daily vitamin, calcium, B12, probiotics

Current Illness: none

ID: 1392768
Sex: F
Age: 71
State:

Vax Date: 03/31/2021
Onset Date: 05/11/2021
Rec V Date: 06/11/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient hospitalized for bacterial pneumonia within 6 weeks of receiving COVID vaccination.

Other Meds:

Current Illness:

ID: 1392770
Sex: M
Age: 16
State: CA

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

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: After receiving vaccine, patient stood up from chair and started to feel "dizzy." Patient was assisted back to chair by staff. Upon assessment, patient was pale to face and warm to touch. BP 102/58, P88. SpO2 99% on room air. Given gatorade water to drink and cool compresses applied to neck. Extended monitoring done in recovery. Patient ambulated from facility with mother. No s/sx of distress noted.

Other Meds: N/A

Current Illness: N/A

ID: 1392771
Sex: M
Age: 85
State: AZ

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

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

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: During verification process, pharmacist verified pt's name/dob/vaccine and provided vaccination card before administration- pt confirmed information was correcy. After vaccination when next pt was called, discovered patient mistakenly misidentifed himself was supposed to received 2nd dose of PFIZER COVID-19. Advised patient that he received Moderna, pt was ok.

Other Meds: N/A

Current Illness: N/A

ID: 1392772
Sex: F
Age: 61
State: FL

Vax Date: 06/09/2021
Onset Date: 06/09/2021
Rec V Date: 06/11/2021
Hospital:

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

Lab Data:

Allergies: Sulfa Eggs Peanuts Wheat Sesame seeds

Symptom List:

Symptoms: Within 30 minutes, Heart began to flutter and head began to swim, Took home Blood pressure which was 193/90. Had pressure on left side back by bar strap. Face skin color was fluctuating between very pale to Normal. Went to ER within one hour of vaccine. Blood pressure was 207/95, heart rate fluctuating between 50-80 within 2-4 minutes. EKG and others tests were performed which were normal. I was monitored for 3 hours, when blood pressure went down to 166/?? I was released to go home. No medications were given. Was told to see my primary doctor and start with a cardiologist. At 10:00, I started sweating profusely and my blood pressure was 123/66. Next day I felt the heart flutter or felt like heart was jiggling in chest several times, BP was higher than normal at 2:00 in after noon BP was 181/88. Blood pressure slowly went down when checked every 2 hours. I also had a weird headache. Today I saw my primary doctor, who advised to take an additional losartan if BP Systolic goes above 175. The heart flutters are less, but I just experienced three episodes this afternoon,(2 days after vaccine). Headache is still the same. (Not good) BP at doctors was 145/88. A cardiologist appt was made for next week.

Other Meds: Losartan 25 mg / each Am Rosuvastatin 20 mg each evening Vit D3 1000 IU mid morning Methylocobalamin 2000 mcg mid morning B6 50 mg mid morning Folate 13333 Mcg DFe mid morning Oxybutynin 10 mg had taken daily in am for past 2 weeks, however

Current Illness:

ID: 1392773
Sex: M
Age: 20
State: CA

Vax Date: 05/25/2021
Onset Date: 05/25/2021
Rec V Date: 06/11/2021
Hospital: Y

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

Lab Data:

Allergies: None known

Symptom List:

Symptoms: Please see housestaff note for full details. In brief, 20-year-old neurologically normal man with history of asthma now presenting with new onset fever, headache and then status epilepticus. On 5/25 the patient received his second dose of COVID vaccine and then started to have intermittent fevers up to 102.5. This was associated with malaise, nausea, fever, headache, myalgias. He came to ED on 5/30 and had IVF, analgesics and a cardiac workup that was unremarkable and was discharged with diagnosis of possible pericarditis/myocarditis. He then had ongoing worsening headaches and increasing fevers and was unable to get out of his bed, and so his wife called 911 and he came to ED on 6/3. There he had vomiting and transaminitis and was diagnosed with gastroenteritis treated with flagyl. Headaches progressed and were associated with dizziness; he had HCT read as unremarkable but then while awaiting MRI had convulsion. He was returned to his room and had two more and thus was intubated, placed on propofol/versed, Keppra, dilantin, and broad-spectrum antibiotics and acyclovir before transfer to UCSF. on 6/5/2021 found to have reduced urine output, and serum creatinine found to be 1.72 and climbed >7 in days later normalized spontaneously with fluid support to 4.26 with continued improvement. LFTs were also found to be elevated. Was acutely encephalopathic. Seizures resolved on Keppra treatment though had acute agitation for several days. Slowly returning to neurologic baseline. with AKI and LFTs slowly normalizing.

Other Meds: None

Current Illness: None

ID: 1392774
Sex: M
Age: 22
State: TN

Vax Date: 05/21/2021
Onset Date: 05/23/2021
Rec V Date: 06/11/2021
Hospital: Y

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

Lab Data:

Allergies: amoxicillin, doxycycline

Symptom List:

Symptoms: fever, chills and headache, which progressed to shortness of breath and chest pain-- 2 separate episodes that lasted 20-30 minutes each. Cardiology consult. Patient initially treated with aspirin 325mg, metoprolol succinate 12.5 mg daily and colchicine 0.6mg bid for 6-12 weeks. Patient to follow up with cardiology.

Other Meds: none

Current Illness: none

ID: 1392775
Sex: F
Age: 28
State: ME

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

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: When administering dose vaccine sprayed out from syringe at point of needle attachment, and patient did not receive full dose. Patient felt slightly lightheaded and nauseous after event, but did not faint. After use of cold compress patient felt better within minutes. Patient declined to wait to receive dose in opposite arm as recommended, but promised to return the following day.

Other Meds:

Current Illness:

ID: 1392776
Sex: M
Age: 87
State: MA

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

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

Lab Data:

Allergies: Aspirin 81mg PO daily, Senna 2 tablets PO at bedtime, MiraLax Powder 17gram PO as needed daily, Extra Strength Tylenol 1gram PO three times daily, Geri-Tussin 10ml every 4 hours as neded, Ferrous Sulfate 325mg PO daily, Atorvastatin 10mg PO daily, Flomax 0.4mg PO daily, Lisinopril 5mg PO daily, Plavix 75mg PO daily, Calcium Carbonate 1000mg PO twice daily, Lexapro 10mg PO daily, Gabapentin 100mg PO twice daily, Oxycodone 5mg PO twice daily, Gabapentin 600mg PO twice daily.

Symptom List:

Symptoms: No adverse reactions noted at this time. Patient received first dose of Moderna and was previously vaccinated with both doses of Pfizer vaccine.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 599,999

Page last modified: 03 October 2021 5:28pm